{"id":7588,"date":"2023-04-21T15:47:07","date_gmt":"2023-04-21T14:47:07","guid":{"rendered":"https:\/\/www.rontgen.com\/wp-doctor\/?p=7588"},"modified":"2023-10-31T00:22:05","modified_gmt":"2023-10-30T23:22:05","slug":"herniografi","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/herniografi","title":{"rendered":"Herniografi"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-81\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" alt=\"\" width=\"12\" height=\"13\" \/>Jag har f\u00e5t remiss fr\u00e5n kirurgen till CT herniografi. Det g\u00e4ller om oklart ljumskbr\u00e5ck. Varf\u00f6r gjorde dom CT krystning utan kontrast medel?<\/p>\n<div id=\"attachment_7725\" style=\"width: 160px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2023\/04\/hernio_brock_3.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-7725\" class=\"wp-image-7725\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2023\/04\/hernio_brock_3-90x90.jpg\" alt=\"\" width=\"150\" height=\"104\" srcset=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2023\/04\/hernio_brock_3-300x209.jpg 300w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2023\/04\/hernio_brock_3-650x452.jpg 650w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2023\/04\/hernio_brock_3-768x535.jpg 768w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2023\/04\/hernio_brock_3.jpg 1000w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a><p id=\"caption-attachment-7725\" class=\"wp-caption-text\">\u00c4ldre herniografi<\/p><\/div>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-85\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" alt=\"\" width=\"12\" height=\"13\" \/>Tidigare gjordes en radiologisk herniografiunders\u00f6kning genom n\u00e5lpunktion av bukhinnan varefter radiologen injicerad jodkontrastmedel i bukh\u00e5lan. Patienten fick sedan krysta medan r\u00f6ntgenbilder togs fr\u00e5n olika vinklar och vid ljumskbr\u00e5ck syntes en utvidgning av tarmen genom ljumskligamentet.<\/p>\n<div id=\"attachment_7670\" style=\"width: 160px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2023\/04\/buk_cor_ljumskbrock_1.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-7670\" class=\"wp-image-7670\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2023\/04\/buk_cor_ljumskbrock_1-90x90.jpg\" alt=\"\" width=\"150\" height=\"125\" srcset=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2023\/04\/buk_cor_ljumskbrock_1-300x251.jpg 300w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2023\/04\/buk_cor_ljumskbrock_1-650x543.jpg 650w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2023\/04\/buk_cor_ljumskbrock_1.jpg 718w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a><p id=\"caption-attachment-7670\" class=\"wp-caption-text\">CT-buk med kontrast i tarmarna<\/p><\/div>\n<p>Numera g\u00f6res denna unders\u00f6kning med ultraljud, MR eller CT <span style=\"font-size: 10pt;\">(datortomografi)<\/span> vid oklara fall. Flertalet ljumskbr\u00e5ck kan diagnostiseras genom kliniska fynd.<br \/>\nEn CT-herniografi g\u00f6res inledningsvis utan kontrast vare sig intraven\u00f6st eller d\u00e5 patienten dricker kontrastmedel. Oftast kan radiologen enkelt se ett ljumskbr\u00e5ck n\u00e4r patienten krystat under sj\u00e4lva bildtagningen.<\/p>\n<p>Vid fortsatt oklara fynd bildm\u00e4ssigt kan unders\u00f6kningen g\u00f6ras om efter att patienten druckit kontrastmedel och ev. intraven\u00f6s kontrast f\u00f6r att utesluta annan patologi. Tarmarna inneh\u00e5ller d\u00e5 kontrastmedel som bildm\u00e4ssigt avbildar tarmens utvidgning vid krystning.<\/p>\n<p>Ultraljud \u00e4r ocks\u00e5 en bra diagnostisk metod d\u00e4r \u00e4ven differentialdiagnos <span style=\"font-size: 10pt;\">(annan orsak till besv\u00e4r med liknande symtom)<\/span> kan st\u00e4llas.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-83\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" alt=\"\" width=\"12\" height=\"13\" \/>KT. rtgssk<br \/>\nR\u00f6ntgen Helsingborg<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Jag har f\u00e5t remiss fr\u00e5n kirurgen till CT herniografi. Det g\u00e4ller om oklart [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[142,38,24],"class_list":["post-7588","post","type-post","status-publish","format-standard","hentry","category-ct","tag-ct","tag-kontrast","tag-undersokning"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/7588","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/comments?post=7588"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/7588\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=7588"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=7588"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=7588"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}