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. 2023 Feb;27(1):31-34.
doi: 10.1007/s10029-022-02642-6. Epub 2022 Jul 2.

The role of dynamic magnetic resonance imaging in exclusion of inguinal hernia in patients suffering from indefinitive groin pain

N Rosbach  1 , K Wenger-Alakmeh  2 , M Lahrsow  3 , S Mahmoudi  3 , S Bernatz  3 , T J Vogl  3 , T Schreckenbach  4 , U Pession  4 , T Gruber-Rouh  3
Affiliations

The role of dynamic magnetic resonance imaging in exclusion of inguinal hernia in patients suffering from indefinitive groin pain

N Rosbach et al. Hernia. 2023 Feb.

Abstract

Rationale and objectives: The objective of this study was to analyze the role of dynamic magnetic resonance imaging (MRI) in patients who suffered from groin pain and whose physical examination and ultrasound returned inconclusive/indefinite results, as well as in patients receiving an ongoing assessment for a previous herniotomy.

Material and methods: For this study, 25 patients 14 women and 11 men were selected with a mean age of 41.6 years, including clinical complaints, such as groin pain and or a previous herniotomies. These patients underwent dynamic MRI. Reports were created by a radiology resident and a radiology consultant. Clinical and ultrasound documentation were compared to with imaging results from the MRI.

Results: The results of the dynamic MRI were negative for 23 patients (92%) and positive for two patients (8%). One patient suffered from an indirect hernia and one from a femoral hernia. A repeated hernia was an excluding for the preoperated patients with pain and ongoing assessment.

Conclusions: Dynamic MRI shows substantially higher diagnostic performance in exclusion of inguinal hernia, when compared to a physical examination and ultrasound. The examination can also be used in assessments to analyze the operation's results.

Keywords: Dynamic MRI; Groin pain; Inguinal hernia; Inguinal pain; MRI.

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Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
Case of a 32-year-old patient suffering from pain in the left groin for 1 day. Physical examination showed no certain sign of inguinal herniation. Ultrasound showed an uncertain formation in the left groin. For further investigation, a dynamic MRI examination was performed. Standard static MRI examination with axial T2-Haste sequence a and dynamic MRI examination with sagittal b and coronar c T2w. Fast imaging with steady precession (TRUFI) confirmed a herniation in the left groin
Fig. 2
Fig. 2
Box Whisker plot and dots illustrate rating results regarding the readers diagnostic confidence, image quality, and image noise of static and dynamic MRI. Median scores are shown as red boxes, and dots represent the score distribution. Diagnostic confidence was significantly higher in dynamic MRI compared to standard static MRI (p < 0.001). Ratings for image quality and image noise differed not significantly (p = 0.04)
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