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Updated on December 20, 2024

Post-laparoscopic Port site or Incisional Hernia

Clinical History

A 25-year old woman who recently had laparoscopic appendectomy presented with abdominal pain and swelling post op, with a palpable mass that was felt under the port site.

Case Description

An abdominal ultrasound done with a 2 – 5 MHz curvilinear transducer and a 10 MHz (high frequency transducer) revealed a 24 mm breech in the abdominal wall at the port site containing omental fat and some surrounding fluid. Ultrasound findings are in keeping with port site hernia.

Diagnosis/ Discussion/ Treatment/ Follow-up

Patient had the hernia repaired.

Sonograms

Port site hernia, image acquired using a low frequency curvilinear transducer
Port site hernia, image acquired using a low frequency curvilinear transducer
Port site hernia showing the protrusion of the mesenteric fat content with a tiny trace of adjacent fluid within the herniated sac. No bowel loop seen within the sac. image acquired using a high frequency linear transducer
Port site hernia showing the protrusion of the mesenteric fat content with a tiny trace of adjacent fluid within the herniated sac. No bowel loop seen within the sac. image acquired using a high frequency linear transducer
Port site hernia
Port site hernia
Power Doppler showing no evidence of vascularity within the protruding mesenteric fat, as would be expected
Power Doppler showing no evidence of vascularity within the protruding mesenteric fat, as would be expected

Published on: August 20, 2024

Author

Sonohive

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