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Document Type : Review Article
Abstract
Background: The clinical manifestations of anterior abdominal wall diseases are diverse. Cross-sectional imaging frequently reveals abdominal wall lesions, which are typically unnoticed. It can be difficult to distinguish between various sorts of masses based only on imaging characteristics.
Aim of the study: To assess the diagnostic accuracy of ultrasonography for anterior abdominal wall lesions.
Patients and methods: From January 2022 to December 2022, researchers from Al-Yarmouk Teaching Hospital conducted a prospective study. A total of 102 individuals with anterior abdominal wall swellings were included in the research. All of the patients had undergone a targeted ultrasound examination. The findings were compared to the patients' surgical findings and histological findings.
Results: The most prevalent pathologies were hernia (31.38%), post-operative collections (25.48%), and endometriosis (14.71%). In compared to surgical and histological findings, ultrasonography demonstrated 99% sensitivity, 97.06% accuracy, and 98.02% positive predictive value (PPV) for the identification of different anterior abdominal wall lesions.
Conclusions: Abdominal wall lesions are common clinical manifestation. Although there are multiple possible diagnoses, in most cases, an accurate diagnosis can be made or the scope of the differential diagnosis can be narrowed by combining clinical and imaging features. A few types of masses, however, still require pathological diagnosis.
- David H. Ballard , Parisa Mazaheri, Daniel C. Oppenheimer, Meghan G. Lubner, Christine O. Menias, Perry J. Pickhardt, William D. Middleton, Vincent M. Mellnick .Imaging of Abdominal Wall Masses, Mass-like Lesions, and Diffuse Processes. Affiliations Published Online:Apr 24 2020; https://doi.org/10.1148/rg.2020190170.
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