San MASA, Alva ANV, Ríos RJL, González VC, Vergara MFA

Language: Spanish
References: 14
Page: 348-354
PDF size: 335.68 Kb.

ABSTRACT

Introduction: computed tomography (CT) can measure the attenuation or absorption of the X-ray beam as it passes through sections of the body at different angles. Inguinal hernias, whether direct or indirect, are the most common type of abdominal wall hernia. Objective: to analyze the prevalence of direct and indirect inguinal hernias diagnosed by abdominal CT in patients with a body mass index (BMI) greater than 25 kg/m². Material and methods: a retrospective study was conducted on abdominal CT scans, with and without contrast, performed between March 2023 and June 2024 using the digital archive of Hospital Angeles Mocel. Patients over 18 years of age with a BMI > 25 kg/m² were included. Results: indirect hernias were more frequent among overweight patients, accounting for 54 cases (46.1%), followed by grade I obesity with indirect hernia in 33 patients (28.2%) (p = 0.019). The most common side was the left in overweight individuals, with 23 patients (39.6%), followed by the right side with 18 patients (15.3%), and bilateral presentation in 17 patients (14.5%) (p = 0.036). Conclusion: CT is an effective tool for the accurate diagnosis of inguinal hernias, as it is not operator-dependent. In this study, a prevalence of 40.1% for this condition was observed.

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