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Incisional Hernia

Sean P Cullen, MD
Jeanne S Chow, MD
Ramin Khorasani, MD

July 16, 1997

Presentation

A 70-year-old woman with a history of renal cell carcinoma and left radical nephrectomy presented with left posterior rib pain.

Imaging Findings

CT of the abdomen

Computed tomography (CT) images demonstrate protrusion of the colon through the posterolateral left abdominal wall (arrows) representing an incisional hernia. There is no evidence of retroperitoneal lymph node enlargement. Liver, spleen, adrenals and the right kidney are unremarkable.

Differential Diagnosis

Incisional hernia is the diagnosis and is the most likely cause of the patient's symptoms. There was no evidence of metastatic disease.

Diagnosis

incisional hernia


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