Mayur Mahadule, Rajesh Umap, Manali Rahalkar, Saksham Bansal


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.


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

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Bertani, E., Chiappa, A., Testori, A., Mazzarol, G., Biffi, R., Martella, S., … Andreoni, B. (2009). Desmoid Tumors of the Anterior Abdominal Wall: Results from a Monocentric Surgical Experience and Review of the Literature. Annals of Surgical Oncology, 16(6), 1642–1649.

Cherry, W. B., & Mueller, P. S. (2006). Rectus Sheath Hematoma. Medicine, 85(2), 105–110.

D Sharma, R Prasad, Puneet, R Shukla, M Kumar, V. S. (n.d.). Internet Scientific Publications. Retrieved November 2, 2017, from

El-Mekkawy El-Sayed, E.-S., Abd-Ella, T. F., & Zaian, A. S. (2015). Role of Ultrasonography and Multi-detector CT in Imaging of Anterior Abdominal Wall Lesions. International Journal of Medical Imaging, 3(5), 98.

Elechi, E. N., Anyomi, F. K., & Elechi, G. N. (1988). Pyomyositis of the Anterior Abdominal Wall. Tropical Doctor, 18(4), 167–169.

Gandolfo N, Pretolesi F, Martinoli C, Crespi G, D. L. (n.d.). No Title. Radiol Med. Ju-Aug; 2002, 104(1-2):44-51.

Hensen, J.-H. J., Van Breda Vriesman, A. C., & Puylaert, J. B. C. M. (2006). Abdominal Wall Endometriosis: Clinical Presentation and Imaging Features with Emphasis on Sonography. American Journal of Roentgenology, 186(3), 616–620.

Ishida, H., Konno, K., Hamashima, Y., Naganuma, H., Komatsuda, T., Sato, M., … Masamune, O. (1998). Anterior abdominal wall pathologies detected by high-frequency annular array. European Journal of Ultrasound, 7(3), 167–174.

Kim, H. K., Kim, S. M., Lee, S. H., Racadio, J. M., & Shin, M. J. (2011). Subcutaneous epidermal inclusion cysts: Ultrasound (US) and MR imaging findings. Skeletal Radiology, 40(11), 1415–1419.

Klingler, P. J., Wetscher, G., Glaser, K., Tschmelitsch, J., Schmid, T., & Hinder, R. A. (1999). The use of ultrasound to differentiate rectus sheath hematoma from other acute abdominal disorders. Surgical Endoscopy, 13(11), 1129–34. Retrieved from

Lefevre, J. H., Parc, Y., Kernéis, S., Goasguen, N., Benis, M., Parc, R., & Tiret, E. (2008). Risk factors for development of desmoid tumours in familial adenomatous polyposis. British Journal of Surgery, 95(9), 1136–1139.

Malik, K. A., Al Shehhi, R. M., Al Qadhi, H., Al Kalbani, M., & Al Harthy, A. (2012). Ovarian Hernia: A rarity. Sultan Qaboos University Medical Journal, 12(2), 225–7. Retrieved from

Mittal, A., Gupta, S., Mehta, V., & Gupta, R. (2008). Anterior abdominal wall cysticercosis-the role of high-resolution USG. The Indian Journal of Radiology & Imaging, 18(3), 266–7.

Neblett, W. W. 3rd, Pietsch, J. B., & Holcomb, G. W. J. (1988). Acute abdominal conditions in children and adolescents. The Surgical Clinics of North America, 68(2), 415–430.

Paunipagar, B. K., Griffith, J. F., Rasalkar, D. D., Chow, L. T. C., Kumta, S. M., & Ahuja, A. (2010). Ultrasound features of deep-seated lipomas. Insights into Imaging, 1(3), 149–153.

Presley, B. C., Bush, J. S., & Watson, S. C. (2012). Dermatomyositis with extensive calcification in an adult. The Western Journal of Emergency Medicine, 13(1), 136–8.

Salas, S., Bui, B., Stoeckle, E., Terrier, P., Ranchere-Vince, D., Collin, F., … Coindre, J.-M. (2009). Soft tissue sarcomas of the trunk wall (STS-TW): a study of 343 patients from the French Sarcoma Group (FSG) database. Annals of Oncology, 20(6), 1127–1135.

Shah, P. P., Dubhashi, S. P., & Choudhary, K. (2014). Anterior abdominal wall haemangioma with inguinal extension. Journal of Clinical and Diagnostic Research : JCDR, 8(11), ND15-6.

Solak, A., Genç, B., Yalaz, S., Sahin, N., Sezer, T. Ö., & Solak, I. (2013). Abdominal wall endometrioma: ultrasonographic features and correlation with clinical findings. Balkan Medical Journal, 30(2), 155–60.

Suleiman, S., & Johnston, D. E. (2001). The abdominal wall: An overlooked source of pain. American Family Physician, 64(3), 431–438.

Thomson, W. H. F., Dawes, R. F. H., & Carter, S. S. T. C. (1991). Abdominal wall tenderness: A useful sign in chronic abdominal pain. British Journal of Surgery.


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