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Puckered Panniculus Sign
- Plain film abdomen finding
- On abdominal radiographs, the
fatty panniculus, if present, has two configurations
- Smooth, uniformly convex bow
which is the normal appearance (yellow arrows below)
- Or, a bow with a central
indentation (broken bow) (blue arrows below)
- Latter is a useful
radiographic sign of previous lower abdominal
surgery
- Central indentation is created
by tissue tethering around the laparotomy scar
Puckered Panniculus Sign (see above description)
Bray JF. J Can Assoc Radiol. 1983 Mar;
34(1):75-6.
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