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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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CT Scan Shows Lower Quadrant Anterior Abdominal Wall Defect And Non-obstructed Bowel Loop Herniation. Advice?

I just had a CT Scan and the results were that I had a 3.9 cm right lower quadrant anterior abdominal wall defect with focal, non-obstructed bowel loop herniation. There is a non-obstructive bowel gas pattern. Could you tell me what this means? I also had my spleen removed like 30 years ago and was told that there are 2 solid, well-defined nodular foci measuring between 3.7 and 4.9 cm in the splenic bed. Are these things I should be worried about? Thank you. Valerie
Sat, 16 Mar 2013
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Radiologist,  's  Response
The defect is the weakness and gap in the wall of the abdomen in that region which is usually formed by the muscles,fascia and thick fat-skin layers. This defect may be caused due to old surgery in that region or by some accidental trauma or due to some muscle weakness. So in your case some loops of food pipe are coming out through this defect and are lying under the skin. It is abnormal. However the CT shows that they are not obstructed or stuck there. That is good. However you must undergo surgery to close that defect and keep back the loops of food pipe inside the stomach. Or else sometimes the loops may get obstructed/stuck and you may have sever pain and may require emergency surgery. Better selectively plan and get it done now. Consult a surgeon.
The solid foci in the splenic bed could be splenunculus, which are normal spleen like tissue adjacent to the native spleen. They are normal findings and you need not worry. However if they have increased in size or you have any problem relating to that, then you may need to get few more studies and confirm it.
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CT Scan Shows Lower Quadrant Anterior Abdominal Wall Defect And Non-obstructed Bowel Loop Herniation. Advice?

The defect is the weakness and gap in the wall of the abdomen in that region which is usually formed by the muscles,fascia and thick fat-skin layers. This defect may be caused due to old surgery in that region or by some accidental trauma or due to some muscle weakness. So in your case some loops of food pipe are coming out through this defect and are lying under the skin. It is abnormal. However the CT shows that they are not obstructed or stuck there. That is good. However you must undergo surgery to close that defect and keep back the loops of food pipe inside the stomach. Or else sometimes the loops may get obstructed/stuck and you may have sever pain and may require emergency surgery. Better selectively plan and get it done now. Consult a surgeon. The solid foci in the splenic bed could be splenunculus, which are normal spleen like tissue adjacent to the native spleen. They are normal findings and you need not worry. However if they have increased in size or you have any problem relating to that, then you may need to get few more studies and confirm it.