Ultrasonography and computed tomography of inflammatory abdominal wall lesions.

Abstract

Twenty-four patients with inflammatory lesions of the abdominal wall were examined by ultrasonography. Nine of these patients underwent computed tomographic (CT) scanning as well. Both ultrasonography and CT clearly delineated the exact location and extent of abdominal wall abscesses. Abscesses were easily differentiated from cellulitis or phlegmon with ultrasound. The peritoneal line was more clearly delineated on ultrasonograms than on CT scans; abscesses were also more distinct on the ultrasonograms because of their low echogenicity compared with the surrounding structures. Gas bubbles, fat density with specific low attenuation values, and underlying inflamed bowel loops in obese patients with Crohn's disease were better delineated by CT.

Bartholin gland abscess: Sonographic findings

“…[8][9][10][11][12] Sonographic findings of these lesions vary and may include anechoic, hypoechoic, or echogenic texture with variable combinations of this pattern. Usually the anechoic center is surrounded by irregular echogenic layers thought to represent an inflammatory reaction in the adjacent tissue.…”

“…Usually the anechoic center is surrounded by irregular echogenic layers thought to represent an inflammatory reaction in the adjacent tissue. [8][9][10][11][12] Occasionally debris and septations may be noted within the anechoic center structure. Whereas magnetic resonance imaging and computed tomography findings associated with Bartholin abscess have been published, sonographic findings of this disease have not been reported previously.…”

The role of sonography in the diagnosis and management of urachal abscesses

“…The differential diagnosis of urachal abscess should include hematoma, d e~m o i d ,~~ urachal carcinoma, sarcoma of the abdominal peritoneal t~m o r ,~' ,~~ actinomycosis of the greater omentum,31 metastatic carcinoma,5332 ventral or umbilical hernia, and inflammatory lesions. 33 The location of the abdominal wall lesions or abscesses may be within the extraperitoneal fat space, intramuscular or subcutaneous area. 33 Simple demonstration of an abscess within the extraperitoneal fat space of abdominal wall in the midline below umbilicus is not diagnostic for urachal abscess, since this may also be caused by other diseases, e.g., Crohn's disease.33 However, the extension of the abscess to the umbilicus or bladder, and/or the association with umbilical discharge, is a clue to the diagnosis of urachal abscess.…”

KRONİK BÖBREK YETMEZLİĞİ VE VULVAR NEKROTİZAN FASİİT (Olgu Sunumu)

“…Tedavide hayat kurtancı olan erken tanı amacı ile Röntgen grafilerinin çekilmesi, ultrasonograf, bilgisayarlı tomografi, manyetik rezonans ile görüntüleme, sitolojik inceleme ve "frozensçction" biyopsisi gibi yöntemlere başvurulabilir (11,(25)(26)(27).…”