Spigelian Hernia: a Diagnostic Dilemma and Laparoscopic Management
Spigelian hernias, also called as lateral ventral hernias, are rare hernias to present themselves in clinical practice. The significance of these hernias lies in the fact that they are commonly intraparietal hernias and are, hence, difficult to diagnose clinically. Moreover, the neck of these hernias is usually small, posing a fair risk of strangulation. With the advancement in laparoscopic hernia repair, there is evidence that Spigelian hernias too can be repaired laparoscopically, thereby causing less morbidity and shorter hospital stay. Here, we present a rare case of large Spigelian hernia that posed to us as a diagnostic dilemma. The symptoms, clinical findings, and ultrasound of the patient were not specific, and a CT scan had to be used as the measure to confirm the diagnosis. The patient was then managed successfully with laparoscopic intraperitoneal onlay mesh repair. The details of the case and a brief discussion are included.
KeywordsSpigelian hernia Lateral ventral hernia IPOM Laparoscopic hernia repair Laparoscopic Spigelian hernia repair
- 2.Baucom C, Nguyen QD, Hidalgo M, Slakey D (2009) Minimally invasive Spigelian hernia repair. J Soc Laparoendosc Surg 13(2):263–268Google Scholar
- 3.Barker R, Gill RS, Brar AS, Birch DW, Karmali S (2013) Emergent laparoscopic repair of a Spigelian hernia: case report and review of the literature. Case Reports in Medicine. doi:10.1155/2013/197561
- 8.Martell EG, Singh NN, Zagorski SM, Sawyer MA (2004) Laparoscopic repair of a Spigelian hernia: a case report and literature review. J Soc of Laparoendosc Surg/Soc Laparoendosc Surg 8(3):269–274Google Scholar