P. Kesek

Lund University

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Inguinal Hernia in Urological Patients: The Value of Herniography

The Journal of Urology (1988)

Olle Ekberg Per‐Anders Abrahamsson P. Kesek

The value of herniography was reviewed in 45 patients with a variety of urological symptoms (4 with flank pain, 20 with pain from the funicle or scrotum, 11 with symptoms simulating prostatitis and 10 with ill-defined symptoms from the small pelvis). In no patient was a groin hernia palpable at physical examination. However, herniography revealed an inguinal hernia in 6 patients who underwent herniorrhaphy, whereafter 5 became asymptomatic. We recommend herniography in patients with long-standing obscure groin pain to reveal the presence of a nonpalpable inguinal hernia.

Groin

Hydrocele

10.1016/s0022-5347(17)42882-5

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Citations (14)

Herniography in Women Under 40 Years Old with Chronic Groin Pain

The European Journal of Surgery (1999)

P. Kesek Olle Ekberg

To find out the prevalence of symptomatic non-palpable groin hernias in women under 40 years old with undiagnosed chronic groin pain.Retrospective analysis.University hospital, Sweden.116 women 14-39 years old (mean 27) with chronic undiagnosed groin pain who underwent herniography 1977-1994.Intraperitoneal injection of 80 ml iodine contrast medium (200 mg I/ml)Hernias were found in 28 patients (24%): 17 in the right groin alone, 6 in the left groin alone and 5 bilaterally. 19 patients had hernias on the symptomatic side only. 17 patients had indirect inguinal hernias and 7 had direct inguinal hernias (which are claimed to be extremely rare in women).A hernia is a relatively common finding during herniography in young women with groin pain.

Groin

10.1080/110241599750006488

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Citations (3)

[Insinuating and provocative about circumcision].

PubMed (2002)

P. Kesek

Male Circumcision

Source

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Citations (0)

Femoral hernia: clinical significance of radiologic diagnosis

European Journal of Radiology (1990)

Magnus Bergenfeldt Olle Ekberg P. Kesek Åke Lasson

Femoral hernia

Groin

10.1016/0720-048x(90)90133-v

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Citations (5)

The value of herniography in elderly women with groin pain of obscure origin.

PubMed (1989)

Olle Ekberg P. Kesek M Bergenfelt Å. Lasson

In 64 women aged 60-90 (mean 69) years with groin pain of obscure origin (no palpable mass), the diagnostic contribution of positive-contrast herniography was retrospectively evaluated. Groin hernia was found in 28 patients (44%), and was judged to have caused the pain in 18 of them. In 13 of these patients herniorrhaphy relieved the symptoms, and in the other five surgery was contraindicated. The origin of the groin pain in the remaining 46 patients was judged to be musculoskeletal (21), intestinal (11), urogenital (3) or other (11). Herniography thus can substantially contribute in the clinical investigation of groin pain of unclear origin in elderly women.

Groin

Source

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Citations (4)

Position, Orientation and Component Interaction in Dislocation of the Total Hip Prosthesis

Acta Radiologica (1988)

K. Herrlin G. Selvik H. Pettersson P. Kesek Rolf Önnerfält

The position, orientation in space and interaction of prosthetic components was determined in 15 patients with known episodes of dislocation after total hip replacement. The same calculations were performed in a reference group of 44 patients without dislocation. In the group with dislocations, there was a significantly decreased femoral anteversion, and a decreased femoral flexion permitted by the prosthetic components. There were no further significant differences of clinical relevance between the groups concerning all other examined parameters of component position, orientation and interaction. It is concluded that the decreased range of flexion, caused by impingement of the prosthetic components with ensuing leverage effect is one cause of dislocation.

Position (finance)

10.1177/028418518802900412

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Citations (45)

MR imaging following herniography in patients with unclear groin pain

European Radiology (2000)

Peter Leander Olle Ekberg Stefan Sjöberg P. Kesek

Groin

Neuroradiology

Pubic symphysis

Interventional radiology

10.1007/s003300000555

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Citations (35)

Ipsilateral multiple groin hernias.

PubMed (1994)

Olle Ekberg Å. Lasson P. Kesek Danielle van Westen

Groin

Femoral hernia

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Citations (27)

Herniographic Appearance of the Lateral Inguinal Fossa

Acta Radiologica (1987)

Olle Ekberg P. Kesek

Herniography frequently reveals clinically undetected groin hernia. Thereby herniography contributes to the clinical work-up in patients with obscure groin pain. However, the distinction between clinically important and unimportant abnormalities within the lateral inguinal fossa can be difficult. This study was therefore designed in order to elucidate the herniographic appearance of the lateral inguinal fossa in patients with obscure groin pain. Herniographic findings were compared with laterality of the patients' symptoms. The lateral umbilical fold was visible in only 47 per cent of the groins. A triangular shaped outpouching from the lateral inguinal fossa and a patent processus vaginalis were found with equal frequency on the left and right side. They were five times as frequent in men as in women. Their presence did not correlate with laterality of the patients' symptoms. Indirect hernias were almost twice as common on the symptomatic side as compared with the asymptomatic side. On the left side they were found twice as often in men as in women while there was no significant sex difference on the right side. Our results show that neither a patent processus vaginalis nor a triangular outpouching from the lateral inguinal fossa correlate with the laterality of the patients' symptoms while true indirect hernias do.

Groin

Fossa

10.1177/028418518702800513

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Citations (10)

Post‐herniographic abdominal pain syndrome

Acta Radiologica (2004)

Olle Ekberg Å. Lasson P. Kesek Rolf Olsson T. Gustafson

To disclose the frequency of abdominal pain that led to post-procedure hospitalization and the outcome of this major complication.576 patients who had undergone herniography during a 13-year period were retrospectively analysed.Nine out of 576 patients (1.6%) undergoing herniography with an iodine contrast medium developed abdominal pain. The pain resolved within 24 h in 6 patients while 3 patients had pain for up to 3 days.Patients who present with this pain syndrome thus only need careful clinical observation until asymptomatic, with no need for laparotomy or X-ray examination. Prior to herniography, the patients should be informed about this potential complication.

10.1080/02841850410000728

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Citations (1)