, Volume 7, Issue 3, pp 156–157 | Cite as

Spigelian hernia associated with strangulation of the small bowel and appendix

  • A. Onal
  • S. Sökmen
  • K. Atila
Case Report


Spigelian hernia is a rare lateral ventral abdominal hernia. These clinically elusive hernias are treacherous and have a real risk of strangulation. We present a patient with a strangulation of the small bowel and appendix in a right spigelian hernia, which was accurately demonstrated by spiral computerised tomography preoperatively and successfully treated with primary suturing reinforced with polypropylene mesh. With a high index of suspicion and the use of modern radiological technique, these "bewildering" hernias can be diagnosed and repaired relatively safely.


Spigelian hernia Strangulation Small bowel Appendix Computed tomography 


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Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  1. 1.School of Medicine Department of SurgeryDokuz Eylul UniversityIzmirTurkey

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