Radiologic Anatomy of the Inguinofemoral Region: Insights from MDCT

Cherian, P. Thomas; Parnell, A.

doi:10.2214/ajr.07.2489

Cited by 28 publications

(15 citation statements)

References 16 publications

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“…It joins the anterosuperior iliac spine to the pubic tubercle (44)(45). Just lateral to this tubercle a V-shaped gap in the external oblique aponeurosis forms the external inguinal ring.…”

Section: A) Landmarksmentioning

confidence: 99%

“…MDCT produces images of the inguinal region with detail not available with previous generations of CT (44). When multiplanar reconstructions are performed in the sagittal , coronal and axial plane 100% identification of the key anatomic structures can be achieved (Fig.…”

Section: A) Landmarksmentioning

confidence: 99%

“…22) are much less common, occur more commonly in females and account for between 5,3 to 8,2% of all groin hernias (38,(44)(45)50). They are relatively rare in children (less than 1% of all pediatric groin hernias) (50).…”

Section: C) Femoral Hernia (Fh)mentioning

confidence: 99%

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Hernias of the greater omentum through the antero-superior abdominal wall: an extensive pictorial MDCT review with emphasis on typical anatomic landmarks. A pictorial essay

Coulier

2012

Journal of the Belgian Society of Radiology

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Thanks to its very high performances in term of spatial resolution, table speed and multiplanar reconstructions (MPR), 64-row MDCT today produces unrivalled high quality images of the entire abdominal wall (AW) during a single short breath hold. It appears thus particularly useful for the evaluation of AW hernias, allowing accurate identification of their contents, differentiation from other abdominal masses, planning of optimal surgical repair and detection of pre-or post-operative complications. The greater omentum (GO) is another structure that can also be clearly identified, localized and characterized with 64-row MDCT. The identification of its numerous vessels, which predominantly have a vertical course, is the essential key for its delineation. AW hernias implicating the GO are therefore exquisite situations that can also be optimally diagnosed by MDCT. The very high contrast provided by the mostly predominant fatty content of the GO offers a unique opportunity to clearly illustrate the classical anatomic landmarks of almost nearly each type of hernia of the antero-superior AW. The cases presented in this extensive pictorial review were collected in our department during a 5-year-period.

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“…It joins the anterosuperior iliac spine to the pubic tubercle (44)(45). Just lateral to this tubercle a V-shaped gap in the external oblique aponeurosis forms the external inguinal ring.…”

Section: A) Landmarksmentioning

confidence: 99%

Section: A) Landmarksmentioning

confidence: 99%

See 1 more Smart Citation

Hernias of the greater omentum through the antero-superior abdominal wall: an extensive pictorial MDCT review with emphasis on typical anatomic landmarks. A pictorial essay

Coulier

2012

Journal of the Belgian Society of Radiology

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“…It is reported that the inferior epigastric artery has been visible in 90% of the cases, especially on unenhanced computed tomography examinations (1). However, efficacy of such technology to visualize important anatomic structures found in the inguinal region was reported by several authors previously (12). In this study, it was possible to visualize the inferior epigastric artery and the vein, the inguinal ligament, the spermatic cord, the radiologic femoral triangle and the pubic tubercle in all cases.…”

Section: Discussionmentioning

confidence: 73%

“…Therefore, accurate imaging is vital to ensure diagnosis of inguinal hernia in patients with such presentations (10,11). Scanner technology with multi-planar reformatting makes it possible to produce high resolution sagittal, coronal and oblique images in any plane from raw axial images that allows visualization of relevant anatomic structures (4,8,12,13). It is reported that the inferior epigastric artery has been visible in 90% of the cases, especially on unenhanced computed tomography examinations (1).…”

Section: Discussionmentioning

confidence: 99%

Usefulness of Computed Tomography for Differentiation of Primary Inguinal Hernia

Hasbahçeci

Erol

2015

GMJ

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Objective: The perception of inguinal anatomy during hernia formation may be an important issue for the evaluation of hernias. This study was conducted to describe detailed anatomy of inguinal region in patients with primary inguinal hernia by using computed tomography. Methods: Study group included 18 inguinal hernia patients with computed tomography images. Images with multi-planar reformatting were evaluated with regard to anatomical landmarks found in inguinal region. Results: Visualization of inguinal ligament and inferior epigastric artery was possible in all patients. Type of inguinal hernia was defined correctly in all patients by using inferior epigastric artery as an anatomic landmark. Pubic tubercle and lateral crescent sign in differentiation between direct and indirect inguinal hernias had variable sensitivity and specificity (0.69 and 0.60 for pubic tubercle, and 0.69 and 0.80 for lateral crescent sign, respectively). Conclusion: Multi-planar reformatting helps physicians to differentiate types of inguinal hernia by using the inferior epigastric artery as an anatomic landmark.

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The role of ultrasound in the diagnosis of Grynfeltt–Lesshaft lumbar hernia: A case report

2021

Australas J Ultrason Med

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Grynfeltt-Lesshaft hernia is a type of lumbar hernia located in the superior lumbar triangle. Lumbar hernias are rare hernias. Clinical diagnosis of lumbar hernias can be a challenging especially in obese or asymptomatic patients. Lumbar hernias have been frequently misdiagnosed and lead to serious complications. Surgery (open or laparoscopic) is recommended to correct the defect and to avoid the exacerbation of the hernia and associated complications. The majority of the reported cases in the past were diagnosed on a CT scan. This study presents a case of successful detection of a Grynfeltt-Lesshaft hernia by US scan then confirmed by a subsequent CT scan. The aim of this case report was to Increase knowledge of lumbar hernias and to demonstrate the role of US in the diagnosis of lumbar hernias.

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Radiologic Anatomy of the Inguinofemoral Region: Insights from MDCT

Cited by 28 publications

References 16 publications

Hernias of the greater omentum through the antero-superior abdominal wall: an extensive pictorial MDCT review with emphasis on typical anatomic landmarks. A pictorial essay

Hernias of the greater omentum through the antero-superior abdominal wall: an extensive pictorial MDCT review with emphasis on typical anatomic landmarks. A pictorial essay

Usefulness of Computed Tomography for Differentiation of Primary Inguinal Hernia

The role of ultrasound in the diagnosis of Grynfeltt–Lesshaft lumbar hernia: A case report

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