Anu Obaro MBBS, Presenter: Nothing to Disclose

Suzanne Ryan MD, Abstract Co-Author: Nothing to Disclose

To demonstrate the subtle signs sometimes overlooked in the acute and non-acute abdomen that can lead to missed diagnosis and litigation. To recognise the CT appearances of common and unusual internal hernias. To demonstrate correlation between CT appearances and surgical findings.  

Internal hernias are associated with high mortality and are a common missed diagnosis in patients who present with abdominal pain. The purpose of this presentation is to demonstrate predominantly unusual hernia appearances on CT, with surgical correlation. Types of internal hernia and epidemiology Anatomy of internal hernias High risk patients – particularly those with gastric bypass. Role of CT CT findings in both common and rare internal hernias – red flag signs that should not be missed, including mesenteric oedema, lymph node enlargement and free fluid. Case studies Static images and video examples of common and uncommon internal hernias including Petersen’s, transmesentric, retroperitoneal and broad ligament hernias. Surgical correlation and management.  

http://abstract.rsna.org/uploads/2014/14008756/14008756_4z36.pdf

Obaro, A, Ryan, S, Difficult Diagnosis—A Pictorial Review of the CT Appearances of Uncommon Internal Hernias and Correlation with Surgical Findings.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14008756.html