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 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 The Nectarine Pit as a Cause for Small Bowel Obstruction and Perforation: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
Mahmoud Al-Najjar ◽  
Thomas Arthur
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Significant Morbidity ◽  
Accidental Ingestion

Ingestion of a foreign body is a rare cause of small bowel obstruction. Ingested foreign bodies will usually pass without clinical sequelae, however on occasion can contribute to significant morbidity. Here we present an unusual case of small bowel obstruction and perforation as a result of accidental ingestion of a nectarine pit.

scholarly journals Computed tomographic colonography: Diagnosis of an incarcerated Spigelian hernia

2014 ◽  
Vol 18 (1) ◽  
Author(s):  
Joel H. Bortz
Keyword(s):  
Small Bowel ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Abdominal Wall Hernia ◽  
Abdominal Discomfort ◽  
Spigelian Hernia ◽  
Computed Tomographic Colonography ◽  
Rare Form ◽  
Lateral Deviation ◽  
Computed Tomographic

A 68-year-old obese man underwent computed tomographic colonography (CTC) scanning to investigate worsening constipation and lower abdominal discomfort on his left side.Optical colonoscopy was contraindicated because of his comorbidities. A preliminary CTC diagnosis of incarcerated Spigelian hernia was made, based on lateral deviation of thesigmoid colon to the left as well as extrinsic impressions on it, and the central location of the small bowel. Spigelian hernia is a rare form of anterior abdominal wall hernia. CTC can play a role in its diagnosis.

scholarly journals Ipsilateral Spigelian hernia: just an infrequent variant?

2020 ◽  
Vol 102 (8) ◽  
pp. e190-e191
Author(s):  
R Singh ◽  
H Jayamanne ◽  
BM Stephenson
Keyword(s):  
Abdominal Wall ◽  
Unusual Case ◽  
Anterior Abdominal Wall ◽  
Spigelian Hernia

Spigelian hernias are generally considered to occur through solitary defects in the fascial layers of the anterior abdominal wall in the ‘Spigelian hernia belt’ but can be found anywhere along the line of the linea semilunaris. They are uncommon in children and in adults thought to be acquired and associated with obesity. We describe an unusual case of Spigelian herniation previously unreported and possibly previously unrecognised.

scholarly journals Giant Spigelian Hernia presenting as small bowel obstruction: Case report and review of literature

2019 ◽  
Vol 63 ◽  
pp. 118-121
Author(s):  
Marino Di Furia ◽  
Lucia Romano ◽  
Andrea Salvatorelli ◽  
Denise Brandolin ◽  
Gianni Lazzarin ◽  
...  
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Spigelian Hernia ◽  
Review Of Literature

scholarly journals An incarcerated Spigelian hernia with the appendix in the sac passing though all layers of the abdominal wall: an unusual cause for chronic right iliac fossa pain

2020 ◽  
Vol 2020 (6) ◽  
Author(s):  
Daniel Page ◽  
Rasika Hendahewa
Keyword(s):  
Chronic Pain ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Iliac Fossa ◽  
Spigelian Hernia ◽  
Transversus Abdominis ◽  
Abdominal Hernias ◽  
Right Iliac Fossa Pain ◽  
Pass Through ◽  
Internal Oblique

ABSTRACT Abdominal wall hernias are a common pathology and source of morbidity including chronic pain. They occur in various anatomical areas; amongst the rarest locations is the Spigelian hernia accounting for <2% of all abdominal hernias. We present a case report of a patient with chronic right iliac fossa pain caused by an incarcerated Spigelian hernia containing her appendix within the hernial defect. Rarer still is that her hernial defect penetrated all three layers of anterior abdominal wall, typically a Spigelian hernia would only pass through transversus abdominis and internal oblique layers.

Sign in / Sign up

Export Citation Format

Share Document