Das inter-parieto-hepatische Fettpolster - Eine Fehlerquelle bei der Diagnose der Hämatome des Musculus rectus abdominis

Abstract

Some patients, even subjects with normal weight, have a fatty tissue pad located behind the xyphoid appendix between the peritoneum, the liver and the abdominal wall muscles. The wall fatty pad is encapsulated. It is sonographically transsonic, but with high-level internal echoes, and may deform the anterior face of the liver. It can be from 8 to 13 cm wide, 5 to 10 cm high and 3 to 5 cm thick. This fatty structure may be mistaken for a parietal abscess or haematoma. The sonographical exploration of the abdominal wall with short-focussed high-frequency transducers and the knowledge of this normal variance of human anatomy should avoid such pitfalls.