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Abdominal Wall Neuroma

^* To whom correspondence should be addressed. E-mail: sherri{at}malpass.ca.

	Abstract

When patients present with sporadic and intense right-sided abdominal pain, an intra-abdominal problem, such as renal calculi or cholelithiasis, may be assumed. Upon negative test results, the patient may be dismissed, with his or her chronic problems not diagnosed. In the following case, the patient was sent for a routine abdominal scan. Imaging with a vector probe was unremarkable, but additional patient inquiry revealed a previous surgery to repair an inguinal hernia. Sonographic examination with a 15-MHz linear probe revealed no recurrent hernia. The area around the scar was also closely investigated, and a small 5.5-mm hypoechoic mass within the fascia was found, which was determined to be an abdominal wall neuroma. These types of defects may be missed if emphasis is focused primarily on intra-abdominal organs and the patient’s source of pain is overlooked.

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