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Case of the Week 337



What's the most likely diagnosis?

  • 51 year-old female post cholecystectomy



  1. Urinary retention
  2. Abscess
  3. Small bowel obstruction
  4. Ventral hernia
  5. Alien infestation

Additional Image - Axial CT scan of the abdomen

 

Additional Images

Axial CT scan of the abdomen


Answer:


4. Ventral hernia


More (Click Discussion Tab)


Ventral Hernia

General Considerations

  • By definition: protrusion of abdominal structures through the abdominal wall containing (1) an opening in the abdominal wall, and (2) a hernia sac consisting of  abdominal contents enclosed by peritoneum
  • Majority of abdominal hernias in adults that are acquired are iatrogenic (surgery)
  • Inguinal hernias are most common, mostly indirect type
  • High male to female ratio for inguinal hernias

 

More ...


This Week

51 year-old female post cholecystectomy

 
The video podcaster (me) is taking a break until after the holidays. Visit the iTunes archives for any of the previous 20 LearningRadiology video podcasts. Happy Holidays!

 

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LearningRadiology.com is an award-winning educational site aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of case quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, cardiac, and bone radiology.