1. Review the pathophysiology of iatrogenic injuries affecting the abdominal wall.
2. Discuss the CT findings of a wide range of iatrogenic complications affecting the abdominal wall.
3. Emphasize the importance of integrating clinical data into the study’s interpretation process in this setting.
1. Pathogenesis of iatrogenic injuries affecting the abdominal wall.
2. Clinical presentation
3. Imaging findings – CT, PET/CT and interventional radiological studies
4. Sample cases and mimics
* Complications from medications:
- Rectus sheath hematoma (anticoagulant treatment)
* Complications from injections:
- Injection-site lipohypertrophy (insulin injection)
- Injection site granulomas (low-molecular-weight heparin)
* Complications from drains:
- Tumor seeding along a percutaneous abscess drainage tract
- Inferior epigastric artery pseudoaneurysm
* Complications from surgery:
- Hematoma/ seroma/ abscess
- Incisional hernia
- Heterotopic ossification in scar
- Endometrioma
5. Summary
1. Familiarity and awareness of the broad spectrum of iatrogenic injuries is crucial.
2. Certain iatrogenic complications require prompt intervention.
3. Tailoring of CT study is important to confirm diagnosis.
Gayer, G,
Iatrogenic Complications Affecting the Abdominal Wall. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14005284.html