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Hernia

, Volume 1, Issue 3, pp 149–150 | Cite as

Spigelian hernia presenting as an incarcerated incisional hernia

  • T. Z. Nursal
  • M. Kologlu
  • O. Aran
Case Reports

Summary

Spigelian hernia, first described at the 18th century, is a rare ventral abdominal hernia occuring through the spigelian fascia. The diagnosis is difficult especially when there is no palpable mass. The case presented here had a spigelian hernia mimicking an incarcerated incisional hernia. This patient had undergone an appendectomy through a right paramedian incision proviously. Three years later she was operated for a suspected incisional hernia. Exploration did not reveal any defects in the external oblique aponeurosis so no further exploration was done. Our operative findings showed also an intact external oblique aponeurosis but when incised a spigelian hernia was observed beneath this structure, which was repaired promptly. A high index of suspicision is necessary for diagnosis both pre and intraoperatively.

Key words

Spigelian hernia Incarcerated Incisional hernia 

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Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • T. Z. Nursal
    • 1
  • M. Kologlu
    • 1
  • O. Aran
    • 1
  1. 1.General Surgery DepartmentHacettepe University HospitalAnkaraTurkey

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