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Congress: ECR25
Poster Number: C-27245
Type: Poster: EPOS Radiologist (educational)
Authorblock: J. R. Solana Sisniega, V. J. Ovejero Gomez; Santander/ES
Disclosures:
Jose Ramon Solana Sisniega: Nothing to disclose
Victor Jacinto Ovejero Gomez: Nothing to disclose
Keywords: Abdomen, Ultrasound, Diagnostic procedure, Hernia
Learning objectives This poster is a literature review with the following objectives:- Normal anatomy of anterior abdominal wall.- The physical examination and use of imaging to diagnose rectus diastasis.- Predisposing factors in rectus diastasis. - What symptoms are associated with RD?- Rectus diastasis as a risk factor in the incidence of abdominal wall hernias. 
Read more Background US scans were performed with high-frequency, broad-band linear transducers. Transducer frequency could be adapted according to the thickness of the subcutaneous layer, but it was typically 10 MHz.Patients were placed in the supine decubitus, with the head slightly extended above a pillow, the upper limbs aligned to the trunk and the knees slightly flexed.Measurements were obtained at rest, in a neutral moment immediately after an expiration. We accurately avoided pressing excessively on the abdominal surface with this transducer, to avoid...
Read more Findings and procedure details Rectus diastasis (RD) describes the separation of the rectus abdominis muscles and is characterized by thinning and widening of the linea alba.This causes the midline to bulge when intra-abdominal pressure is increased. RD is not a hernia because it does not have a true fascial defect.Normal anatomy of the anterior abdominal wallThe anterior abdominal wall has three layers. The most superficial layer consists of the skin and adipose tissues.The middle layer is the myofascial layer, which consists of muscles and...
Read more Conclusion Knowledge of the anatomical type of rectus muscle diastasis could be interesting both to the patient (exercises to do and exercises to avoid) and to the surgeon (abdominoplasty approach planning).Clinical examination is suggested for diagnosing RD in most patients.US is regarded as the imaging modality of choice in the initial assessment of recti muscle diastasis.CT may be useful in detecting a concomitant hernia and for surgical planning.A range of symptoms is reported to be associated with RD. It is unknown whether...
Read more References Tung RC, Towfigh S. Diagnostic techniques for diastasis recti. Hernia 2021; 25 (4): 915-919Corvino A, De Rosa D, Sbordone C, Nunziata A, Corvino F, Varelli C, et al. Diastasis of rectus abdominis muscles: patterns of anatomical variation as demonstrated by ultrasound. Pol J Radiol 2019; 84: e542-e548Cavalli M, Aiolfi A, Bruni PG, Manfredini L, Lombardo F, Bonfanti MT, et al. Prevalence and risk factors for diastasi recti abdominis: a review and proposal of a new anatomical variation. Hernia 2021; 25...
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