postoperative appearances after open mesh inguinal hernioplasty

Imaging

changes after recent inguinal hernioplasty: normal or abnormal ?. Preliminary unenhanced CT acquisition confirmed physical finding of right groin swelling at surgical site (note metallic clips at the skin), due to extensive oedematous fat stranding with minimal fluid (*). Note contralateral fat-containing inguinal hernia (o).

Imaging

changes after recent inguinal hernioplasty: normal or abnormal ?. The right groin swelling was mostly occupied by extensive oedematous fat stranding (+) with sparse gas bubbles. Note moderate postsurgical air in the ipsilateral abdominal wall (thin arrows), contralateral fat-containing inguinal hernia (o).

Imaging

changes after recent inguinal hernioplasty: normal or abnormal ?. Axial post-contrast image after i.v. contrast confirmed groin swelling with oedematous fat stranding, sparse gas bubbles (thin arrow), and fluid (*) along the spermatic cord, without signs of active bleeding.

Imaging

changes after recent inguinal hernioplasty: normal or abnormal ?. Corresponding axial post-contrast image showed nonenhancing 3.5-cm mass-like structure (arrowheads) in right iliac fossa, separated by fat (short arrow) from iliac vessels. Residual abdominal wall air (thin arrow).