| An assessment of between-recti distance and divarication in patients with and without abdominal aortic aneurysm. | |
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MedLine Citation:
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PMID: 20819246 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: The study assessed whether there is a greater incidence of divarication of the recti and whether between-recti distance is greater in patients with abdominal aortic aneurysm (AAA). PATIENTS AND METHODS: The study consisted of two parts: a radiological and a clinical assessment. All patients with a confirmed AAA on computerised tomography were included and compared with patients in whom AAA was excluded with imaging. Between-recti distance was measured using a computerised image viewer and clinical divarication was assessed by a surgical registrar or consultant. RESULTS: In the radiological part of the study, 108 patients with AAA were compared with 84 with colorectal cancer. Median between-recti distance was 38 mm (range, 25-59 mm) in the AAA group and 27 mm (range, 20-44.5 mm) in the non-AAA group (P=0.006). AAA diameter did not correlate with between-recti distance. The clinical study included 50 patients (25 AAA). The groups were well matched, with only a greater incidence of diabetes in the AAA group (20% vs 0%; P=0.018). AAA patients were more likely to have clinically detected divarication of the recti (76% vs 36%; P=0.004). CONCLUSIONS: Patients with AAA have greater radiological and clinical evidence of divarication. It is suggested that patients with divarication be screened for AAA. |
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Authors:
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Henry D I De'Ath; Richard E Lovegrove; Mahsa Javid; Noel Peter; Timothy R Magee; Robert B Galland |
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Publication Detail:
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Type: Journal Article Date: 2010-09-06 |
Journal Detail:
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Title: Annals of the Royal College of Surgeons of England Volume: 92 ISSN: 1478-7083 ISO Abbreviation: Ann R Coll Surg Engl Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-01 Completed Date: 2010-10-21 Revised Date: 2012-01-04 |
Medline Journal Info:
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Nlm Unique ID: 7506860 Medline TA: Ann R Coll Surg Engl Country: England |
Other Details:
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Languages: eng Pagination: 591-4 Citation Subset: IM |
Affiliation:
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Department of Surgery, Royal Berkshire Hospital, Reading, UK. HenryDe-Ath@doctors.org.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aortic Aneurysm, Abdominal / complications* Body Mass Index Cohort Studies Female Humans Male Middle Aged Muscular Diseases / complications*, pathology, radiography Rectus Abdominis / pathology*, radiography Tomography, X-Ray Computed |
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