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10.3390/diagnostics12020370
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Article

The Value of Contrast-Enhanced Ultrasound (CEUS) in the Detection of Perfusion Disturbances in Abdominal Wall Hernias Compared with Surgical and Histological Assessment

by
Ehsan Safai Zadeh
1,2,
Christian Görg
1,2,*,
Phillip Kuttkat
1,
Christoph Frank Dietrich
3,
Christina Carolin Westhoff
4,
Fiona Rodepeter
4,
Corinna Trenker
5,
Marvin Görg
4,
Andreas Kirschbaum
6 and
Amjad Alhyari
1,2
1
Interdisciplinary Center of Ultrasound Diagnostics, University Hospital Giessen and Marburg, Philipps University Marburg, Baldingerstraße, 35033 Marburg, Germany
2
Gastroenterology, Endocrinology, Metabolism and Clinical Infectiology, University Hospital Giessen and Marburg, Philipp University of Marburg, Baldingerstraße, 35033 Marburg, Germany
3
Department Allgemeine Innere Medizin (DAIM), Kliniken Hirslanden Bern, Beau Site, Salem und Permanence, 3018 Bern, Switzerland
4
Institute of Pathology, University Hospital Giessen and Marburg, Philipps University Marburg, Baldingerstraße, 35033 Marburg, Germany
5
Haematology, Oncology and Immunology, University Hospital Giessen and Marburg, Philipps University Marburg, Baldingerstraße, 35033 Marburg, Germany
6
Department of Visceral, Thoracic and Vascular Surgery, University Hospital Giessen and Marburg, Philipps University Marburg, Baldingerstraße, 35033 Marburg, Germany
*
Author to whom correspondence should be addressed.
Diagnostics 2022, 12(2), 370; https://doi.org/10.3390/diagnostics12020370
Submission received: 28 December 2021 / Revised: 24 January 2022 / Accepted: 27 January 2022 / Published: 1 February 2022
(This article belongs to the Section Medical Imaging and Theranostics)
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Abstract

Purpose: This study aimed to evaluate the value of contrast-enhanced ultrasound (CEUS) in the evaluation of perfusion disturbance in irreducible abdominal wall hernias (AWHs). Methods: From 2006 to 2018, 50 patients with an irreducible AWH were examined using B-mode ultrasound (B-US) and CEUS. The ultrasound findings were correlated with subsequent surgical and histological results. The presence of non-enhanced areas (NEAs) in hernia contents on CEUS and the presence of non-perfused areas (NPAs) on surgical and histological evaluation were analyzed retrospectively. Results: On CEUS, 13/50 hernia contents (26.0%) revealed NEAs during complete CEUS examination and 37/50 (74.0%) revealed no NEAs during CEUS examination. On surgical and histological evaluation, NPAs in hernia contents were identified in 11/13 cases (93.3%) with NEAs on CEUS. CEUS was found to have a sensitivity of 100.0%, a specificity of 94.9%, a positive predictive value of 84.6%, and a negative predictive value of 100.0% for the identification of perfusion disturbance in AWHs. Conclusions: The findings of this study demonstrate that using CEUS as an imaging method may be helpful for evaluating the perfusion of hernia contents in incarcerated AWHs. On CEUS, the presence of NEAs may suggest perfusion disturbance in hernia contents.
Keywords: ultrasound; CEUS; abdominal wall hernias; surgery; diagnosis ultrasound; CEUS; abdominal wall hernias; surgery; diagnosis

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MDPI and ACS Style

Safai Zadeh, E.; Görg, C.; Kuttkat, P.; Dietrich, C.F.; Westhoff, C.C.; Rodepeter, F.; Trenker, C.; Görg, M.; Kirschbaum, A.; Alhyari, A. The Value of Contrast-Enhanced Ultrasound (CEUS) in the Detection of Perfusion Disturbances in Abdominal Wall Hernias Compared with Surgical and Histological Assessment. Diagnostics 2022, 12, 370. https://doi.org/10.3390/diagnostics12020370

AMA Style

Safai Zadeh E, Görg C, Kuttkat P, Dietrich CF, Westhoff CC, Rodepeter F, Trenker C, Görg M, Kirschbaum A, Alhyari A. The Value of Contrast-Enhanced Ultrasound (CEUS) in the Detection of Perfusion Disturbances in Abdominal Wall Hernias Compared with Surgical and Histological Assessment. Diagnostics. 2022; 12(2):370. https://doi.org/10.3390/diagnostics12020370

Chicago/Turabian Style

Safai Zadeh, Ehsan, Christian Görg, Phillip Kuttkat, Christoph Frank Dietrich, Christina Carolin Westhoff, Fiona Rodepeter, Corinna Trenker, Marvin Görg, Andreas Kirschbaum, and Amjad Alhyari. 2022. "The Value of Contrast-Enhanced Ultrasound (CEUS) in the Detection of Perfusion Disturbances in Abdominal Wall Hernias Compared with Surgical and Histological Assessment" Diagnostics 12, no. 2: 370. https://doi.org/10.3390/diagnostics12020370

APA Style

Safai Zadeh, E., Görg, C., Kuttkat, P., Dietrich, C. F., Westhoff, C. C., Rodepeter, F., Trenker, C., Görg, M., Kirschbaum, A., & Alhyari, A. (2022). The Value of Contrast-Enhanced Ultrasound (CEUS) in the Detection of Perfusion Disturbances in Abdominal Wall Hernias Compared with Surgical and Histological Assessment. Diagnostics, 12(2), 370. https://doi.org/10.3390/diagnostics12020370

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