ROLE OF HIGH RESOLUTION SONOGRAPHY IN EVALUATION OF ANTERIOR ABDOMINAL WALL LESIONS

Mayur Mahadule, Rajesh Umap, Manali Rahalkar, Saksham Bansal

Abstract


INTRODUCTION: High resolution ultrasonography due to its cost effectiveness, easy availability, without ionizing radiation and accuracy
makes it as supreme imaging modality in the evaluation of abdominal wall pathologies. Abdominal wall lesions mimic intra-abdominal conditions
and frequently present as palpable masses. This is more common with patients who have a thick abdominal wall. There are wide range of
pathologies affecting the anterior abdominal wall which ranges from simple fluid collections to complex neoplasms. Early detection of these
pathology using high resolution USG and other imaging modalities has revolutionized the treatment options.
METHOD: A 100 sample was randomly selected irrespective of age and sex either attending the O.P.D. or admitted in the various wards of tertiary
care hospital having abdominal wall lesion and positive ultrasonographic findings.
RESULTS: In our study incisional hernia was the most common anterior abdominal wall lesion followed by ventral hernias. The most common
benign neoplasm was lipoma and the malignant tumour was metastatic nodule and abdominal wall sarcoma. Miscellaneous lesions were
dermatomyositis and anterior abdominal wall haemangiomas etc.
CONCLUSION: USG is a sensitive diagnostic modality for making the diagnosis of anterior abdominal wall masses and this modality provides
valuable guidance for diagnosis and follow-up.


Keywords


High resolution sonography, anterior abdominal wall, abdominal wall hernia and tumour

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References


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