scholarly journals Intestinal obstruction induced by a giant incarcerated Spigelian hernia: case report and review of the literature

2005 ◽  
Vol 123 (3) ◽  
pp. 148-150 ◽  
Author(s):  
Edson Augusto Ribeiro ◽  
Ruy Jorge Cruz Junior ◽  
Samuel Martins Moreira
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Abdominal Wall ◽  
Polypropylene Mesh ◽  
Rectus Sheath ◽  
Spigelian Hernia ◽  
Large Defect ◽  
Diffuse Abdominal Pain ◽  
Tender Mass ◽  
Abdominal Radiographs

CONTEXT: Spigelian hernia is an uncommon spontaneous lateral ventral hernia with an incarceration ratio of around 20%. However, complications such as intestinal obstruction are extremely rare. We report on a case of giant incarcerated Spigelian hernia with a clinical condition of complete intestinal obstruction that was treated using prosthetic polypropylene mesh. CASE REPORT: A 72-year-old woman was admitted to the emergency department complaining of diffuse abdominal pain. Abdominal examination revealed a firm 10 x 10 cm tender mass in the lower left quadrant, without surrounding cellulite or tenderness. Plain abdominal radiographs displayed the formation of levels, thus indicating the existence of intestinal obstruction. An abdominal computed tomography scan clearly showed a fluid and air-filled mass in the soft tissue area of the lower left-side abdominal wall. Spigelian incarcerated hernia was diagnosed and the patient underwent emergency surgical repair by means of local incision. The large defect in the abdominal wall was closed up as successive anatomical layers, and a prosthetic polypropylene mesh was set into the lateral aspect of the rectus sheath. The postoperative course was uneventful and the patient was discharged on the seventh postoperative day.

scholarly journals Laparoscopic Repair of Spigelian Hernia: A Case Report

2016 ◽  
Vol 06 (02) ◽  
pp. 073-075
Author(s):  
Rajesh Ballal ◽  
Khamar Jaha Banu ◽  
Likith Rai
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Laparoscopic Repair ◽  
Spigelian Hernia

AbstractSpigelian hernia is protrusion of the viscera through the spigelian fascia. They account for only 2% of all abdominal wall hernias and are relatively associated with higher risk of complications. It was first reported by Klinkosch in 1764. The treatment of choice is open hernioplasty. Here we report a case of 65 yrs. old lady who underwent laparoscopic transabdominal underlay repair for spigelian hernia concluding that minimal assess surgery is a viable modality of treatment of spigelian hernia.

SPIGELIAN HERNIA – RAREST OF THE RARE CASES. A CASE REPORT OF LEFT SIDED SPIGELIAN HERNIA.

2021 ◽  
pp. 16-17
Author(s):  
B. Santhi ◽  
D. Dorai ◽  
S. Divyadurga
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Female Patient ◽  
Abdominal Imaging ◽  
Spigelian Hernia ◽  
Diagnostic Challenge ◽  
Anatomic Location ◽  
Hernia Incidence

A spigelian hernia is considered as a diagnostic challenge . Although abdominal imaging may be helpful, the ndings of unusual abdominal complaints in the proper anatomic location should alert one to the possibility of a spigelian hernia. Incidence of spigelian hernia ranges from about 0.1% to 2% of all abdominal wall hernias. As spigelian hernias are clinically elusive , we report this rare encounter of a left sided spigelian hernia in a 50 years old female patient and its management.

scholarly journals A case of incarcerated spigelian hernia causing small bowel obstruction

2020 ◽  
Vol 7 (12) ◽  
pp. 4238
Author(s):  
Ravi Kumar Sabu Murugesan ◽  
Kannan Ross ◽  
Joyce Prabakar
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Small Bowel ◽  
Physical Examination ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Spigelian Hernia ◽  
Obese Patients ◽  
Rectus Abdominis Muscle ◽  
Semilunar Line

Spigelian hernias are rare anterior abdominal wall hernias in which the defect occur at the semilunar line lateral to rectus abdominis muscle. It mostly occurs in the lower half as posterior sheath is deficient in that region. Spigelian hernias are rare and moreover it is difficult to diagnose clinically. It constitutes about 0.12% of abdominal wall hernias. Even though it is rare, it is more prone for complications. It affects both sexes and sides equally. It is a diagnostic difficulty especially in obese patients as in our case where physical examination will often be inconclusive. Majority of the spigelian hernias are diagnosed intra operatively. Here in this case report, we present a case of obese 48 years old female who presented with abdominal pain and signs of intestinal obstruction which was found out to be an incarcerated spigelian hernia. Recently laparoscopic repair has been found to be safe and effective.

scholarly journals An unusual case of right iliac fossa lump-spigelian hernia: a case report

2021 ◽  
Vol 9 (1) ◽  
pp. 239
Author(s):  
Birma Ram ◽  
Manoj Gopinath ◽  
Saroj Chaudhary ◽  
Desymol Johnson
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Abdominal Wall ◽  
Preoperative Diagnosis ◽  
Unusual Case ◽  
Surgical Repair ◽  
Anterior Abdominal Wall ◽  
Iliac Fossa ◽  
Spigelian Hernia

Spigelian hernia is a relatively uncommon hernia of anterior abdominal wall, occurring in different anatomical tissue planes. It is a variant of inter-parietal hernia. Preoperative diagnosis of obstructed inter-parietal hernia is based on imaging. Once correctly diagnosed it is easily amenable to surgical repair. We present a case of Spigelian hernia presenting as right iliac fossa lump with features of small bowel obstruction.

scholarly journals Spigelian hernia in the right upper abdominal wall: a case report

BMC Surgery ◽  
2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Zhou Ye ◽  
Mo-Jin Wang ◽  
Li-Fen Bai ◽  
Han-Xiang Zhuang ◽  
Wen Zhuang
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Spigelian Hernia ◽  
Upper Abdominal ◽  
The Right

scholarly journals Safe Liposuction: Case Report and Review of the Literature

2020 ◽  
Vol 19 (3-4) ◽  
pp. 145-150
Author(s):  
Karolis Černauskis ◽  
Sandra Kružyk ◽  
Gabrielė Šukytė ◽  
Linas Venclauskas ◽  
Mantas Sakalauskas
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Abdominal Wall ◽  
Surgical Procedures ◽  
Postoperative Period ◽  
Clinical Case ◽  
The Body ◽  
Diffuse Abdominal Pain ◽  
Liposuction Surgery ◽  
Abdominal Liposuction

Introduction. Liposuction is one of the most popular aesthetic surgical procedures. Liposuction is associated with weight loss, but the primary significance of this operation is body lines contouring. According to US plastic surgery statistics for 2018, liposuction surgery was ranked in the top five of cosmetic surgical procedures, and the most common area of suction in the body was the abdomen. One of the most difficult complications after this procedure is perforation of the small or large intestine, with a frequency of 0.014%. In order to avoid this complication, a comprehensive pre-operative, post-operative examination of the patient and ensuring the safety of the operation are important. We presenting a complicated clinical case of liposuction and literature review. Presentation of case report. In July 2019, a 49-year-old patient underwent surgery by plastic surgeons. Abdominal liposuction surgery was performed. On the first postoperative day, the patient complained of diffuse abdominal pain (VAS 7–8 points), but there were no clinical signs of peritonitis. The patient underwent urgent surgery following the development of a clinical picture of sepsis and peritonitis due to tomography. The operation started with diagnostic laparoscopy. On the left side of the abdominal wall, 4–5 mm abdominal wall defects were observed, and the intestinal cavity was rich in intestinal contents. No obvious injuries to the small intestine, colon or other abdominal organs were observed during laparoscopy. Therefore, a laparotomy was performed, during which two perforations of the small intestine were found and sutured. The postoperative period was smooth, with the patient discharged home after 11 bed days. Conclusions. Intestinal perforation after liposuction is a rare but dangerous complication. Although bowel injury is one of the most severe complications. Prevention is possible starting with a detailed clinical examination of the patient in the preoperative period. The postoperative period should be particularly important in light of the patient’s complaints and clinical symptoms. The presented clinical case shows what a complication of abdominal liposuction can be threatening and how important its early diagnosis and vigilance are.

Giant spigelian hernia due to abdominal wall injury: a case report

Hernia ◽  
2006 ◽  
Vol 11 (1) ◽  
pp. 67-69 ◽  
Author(s):  
Ersun Topal ◽  
Ekrem Kaya ◽  
Naile Bolca Topal ◽  
Ilker Sahin
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Spigelian Hernia ◽  
Wall Injury
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