Document Detail

An assessment of between-recti distance and divarication in patients with and without abdominal aortic aneurysm.
MedLine Citation:
PMID:  20819246     Owner:  NLM     Status:  MEDLINE    
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.
Henry D I De'Ath; Richard E Lovegrove; Mahsa Javid; Noel Peter; Timothy R Magee; Robert B Galland
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Publication Detail:
Type:  Journal Article     Date:  2010-09-06
Journal Detail:
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:
Created Date:  2010-10-01     Completed Date:  2010-10-21     Revised Date:  2013-05-28    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  England    
Other Details:
Languages:  eng     Pagination:  591-4     Citation Subset:  IM    
Department of Surgery, Royal Berkshire Hospital, Reading, UK.
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MeSH Terms
Aortic Aneurysm, Abdominal / complications*
Body Mass Index
Cohort Studies
Middle Aged
Muscular Diseases / complications*,  pathology,  radiography
Rectus Abdominis / pathology*,  radiography
Tomography, X-Ray Computed

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