Advertisement

Hernia

, Volume 8, Issue 4, pp 384–386 | Cite as

Incarcerated small bowel in a spigelian hernia

  • K. Tsalis
  • E. Zacharakis
  • I. Lambrou
  • D. Betsis
Case Report

Abstract

We report on a case of a 68-year-old man who was transferred to our department to undergo surgical treatment of intestinal obstruction and a palpable right-sided abdominal mass. The abdominal computed tomography scan revealed a small bowel obstruction with an incarcerated spigelian hernia. A mesh repair was performed by suturing the mesh to the internal oblique muscle and to the rectus sheath. The postoperative course was uneventful, and no recurrence has occurred during the 2-year follow-up. An urgent operation should be performed as soon as an accurate diagnosis of incarcerated spigelian hernia has been made. Computed tomography should be helpful in order to establish an accurate diagnosis of the incarcerated hernia.

Keywords

Spigelian hernia Incarceration Bowel obstruction Mesh repair Diagnosis 

References

  1. 1.
    Spangen L (1989) Spigelian hernia. World J Surg 13:573–580PubMedGoogle Scholar
  2. 2.
    Spangen L (1984) Spigelian hernia. Surg Clin North Am 1984:351–366Google Scholar
  3. 3.
    Larson DW, Farley DR (2002) Spigelian hernias: repair and outcome for 81 patients. World J Surg 26:1277–1281CrossRefPubMedGoogle Scholar
  4. 4.
    Rogers FB, Camp PC (2001) A strangulated spigelian hernia mimicking diverticulitis. Hernia 5:51–52PubMedGoogle Scholar
  5. 5.
    Houlihan TJ (1976) A review of Spigelian hernia. Am J Surg 131:734–735PubMedGoogle Scholar
  6. 6.
    Moreno-Egea A, Flores B, Girela E, Martin JG, Aguayo JL, Canteras M (2002) Spigelian hernia: Bibliographical study and presentation of a series of 28 patients. Hernia 6:167–170CrossRefPubMedGoogle Scholar
  7. 7.
    Losanoff JE, Richman BW, Jones JW (2002) Spigelian hernia in a child: Case report and review of the literature. Hernia 6:191–193CrossRefPubMedGoogle Scholar
  8. 8.
    Graivier L, Bronsthe B, Feins NR, Mestel AL (1986) Pediatric lateral ventral (Spigelian) hernia. South Med J 81:325–326Google Scholar
  9. 9.
    Stirnemann H (1982) The spigelian hernia: Missed? Rare? Puzzling diagnosis? Chirurg 53:314–317PubMedGoogle Scholar
  10. 10.
    Artioukh DY, Walker SJ (1996) Spigelian herniae: presentation, diagnosis and treatment. J R Coll Surg Edinb 41:241–243PubMedGoogle Scholar
  11. 11.
    Popovici A, Munteanu I (1997) Spigelian hernias. The author’s own experience and a review of the literature. Chirurgia 92:179–186PubMedGoogle Scholar
  12. 12.
    Weiss Y, Lernau OZ, Nissen S (1974) Spigelian hernia. Ann Surg 180:567–572PubMedGoogle Scholar
  13. 13.
    Mufid MM, Abu-Yousef MM, Kakish ME, Urdaneta LF, Al-Jurf AS (1997) Spigelian hernia: diagnosis by high-resolution real-time sonography. J Ultrasound Med 16:183–187PubMedGoogle Scholar
  14. 14.
    Shenouda NF, Hyames BB, Rosenblum MB (1990) Evaluation of Spigelian hernia by CT. J Comput Assist Tomogr 12:777–778Google Scholar
  15. 15.
    Nyhus LM, Condon RE (1995) Hernia 4th edn, Lippincott & Co, Philadelphia, pp 381–392Google Scholar
  16. 16.
    Torzilli G, Carmana G, Lumachi V (1995) The usefulness of ultrasonography in the diagnosis of the spigelian hernia. Int Surg 80:280–282PubMedGoogle Scholar
  17. 17.
    Nursal TZ, Kologlu M, Aran O (1997) Spigelian hernia presenting as an incarcerated incisional hernia. Hernia 1:149–150Google Scholar
  18. 18.
    Ginaldi S (1987) Spigelian hernia. Ann Emerg Med 16:455–458PubMedGoogle Scholar
  19. 19.
    Sanchez-Montes I, Deysine M (1998) Spigelian hernias: a new repair technique using preshaped polypropylene umbrella plugs. Arch Surg 133:670–672PubMedGoogle Scholar
  20. 20.
    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 2004

Authors and Affiliations

  • K. Tsalis
    • 1
    • 2
  • E. Zacharakis
    • 1
  • I. Lambrou
    • 1
  • D. Betsis
    • 1
  1. 1.4th Surgical Department Aristotle University of ThessalonikiG. Papanikolaou General Regional Hospital ExohiThessaloniki Greece
  2. 2.ThessalonikiGreece

Personalised recommendations