To illustrate the CT findings in different types of hernias. To determine the role of CT in confidently diagnosing different types of hernias, their contents and differentiating from other masses. To furnish a proper differential diagnosis for multidisciplinary treatment and further prevention of its complications.

A hernia is defined as “protrusion of a part or structure through the tissues normally containing it”. The contents of an abdominal hernia most commonly consist of fat and bowel, but almost any solid or hollow abdominopelvic viscus can be partly or completely contained within a hernial sac. There are many different types of hernias with a wide range of different clinical conditions. Symptoms of abdominal herniations may be absent or non-specific, consisting of mild abdominal discomfort alternating with episodes of intense periumbilical pain and...

Imaging Technique: Few CT techniques have been described for the evaluation of abdominal wall hernias. Because most of these hernias are unsuspected findings, axial imaging performed with the patient supine is typical. Sequences were taken from the diaphragm to the pubic symphysis is taken in full inspiration, during a single breath-hold, with the patient supine. All examinations were performed on a multidectector CT using GE Optima (GE healthcare, UK) multislice scanner. Patients were kept nil per orally at least 4 hours prior to exam to...

Radiologists should assess the abdominal wall on all CT scans to detect clinically occult hernias. If a hernia is detected, it is important to delineate its site, size, contents, shape, and related complications. MDCT with multiplanar reformations provides a unique perspective on abdominal anatomy, shows wall defects to best advantage, and adds important information in the interpretation and planning of treatment.

Dr. Zeny Vyas Redident, Department of Radio-diagnosis, DY Patil Hospital & Research center, Nerul, Navi Mumbai Dr. Abhishek Das Resident, Department of Radio-diagnosis, DY Patil Hospital & Research center, Nerul, Navi Mumbai Dr. Ashish Vidhate Resident, Department of Radio-diagnosis, DY Patil Hospital & Research center, Nerul, Navi Mumbai

Martin LC, Merkle EM, Thompson WM. Review of internal hernias: radiographic and clinical findings. AJR Am J Roentgenol. 2006;186 (3): 703-17. Selçuk D, Kantarci F, Oğüt G et-al. Radiological evaluation of internal abdominal hernias. Turk J Gastroenterol. 2007;16 (2): 57-64. Mathieu D, Luciani A. Internal abdominal herniations.AJR Am J Roentgenol.2004;183:397–404. Aguirre DA, Casola G, Sirlin C. Abdominal wall hernias: MDCT findings.AJR Am J Roentgenol.2004;183:681–690. Aguirre DA, Santosa AC, Casola G, Sirlin CB. Abdominal wall hernias: imaging features, complications, and diagnostic pitfalls at multi-detector row CT.Radiographics.2005;25:1501–1520...