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Hernia

, 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

Abstract

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.

Keywords

Spigelian hernia Strangulation Small bowel Appendix Computed tomography 

References

  1. 1.
    Spangen L (1995) Spigelian hernia. In: Nyhus LM, Condon RE (eds). Hernia 4th ed. Lippincott, Philadelphia, pp 369–381Google Scholar
  2. 2.
    Stoppa R (1997) Spigelian hernias. In: Chevrel JP (ed) Hernia and Surgery of the Abdominal Wall 2nd ed. Springer, Berlin Heidelberg New York, pp 267–269Google Scholar
  3. 3.
    Spangen L (1984) Spigelian hernia. Surg Clin North Am 64:351–366PubMedGoogle Scholar
  4. 4.
    Rogers FB, Camp PC (2001) A strangulated Spigelian hernia mimicking diverticulitis. Hernia 5:51–52PubMedGoogle Scholar
  5. 5.
    Kirby RM (1987) Strangulated Spigelian hernia. Postgrad Med J 63:51–52Google Scholar
  6. 6.
    Mufid MM, Abu-Yousef MM, Kakish ME (1997) Spigelian hernia: diagnosis by high-resolution real-time sonography. J Ultrasound Med 16:183–187PubMedGoogle Scholar
  7. 7.
    Nursal TZ, Kologlu M, Aran O (1997) Spigelian hernia presenting as an incarcerated incisional hernia. Hernia 1:149–150Google Scholar
  8. 8.
    Balthazar EJ, Subramanyam BR (1983) Radiographic diagnosis of Spigelian hernia. Am J Gastroenterol 78:525–528Google Scholar
  9. 9.
    Losanoff JE, Jones JW, Richman BW (2001) Recurrent Spigelian hernia: a rare cause of colonic obstruction. Hernia 5:101–104PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

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

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