Spigelian hernia associated with strangulation of the small bowel and appendix

Onal A., SÖKMEN S., ATİLA K.

Hernia, cilt.7, sa.3, ss.156-157, 2003 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 7 Sayı: 3
  • Basım Tarihi: 2003
  • Doi Numarası: 10.1007/s10029-003-0118-0
  • Dergi Adı: Hernia
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.156-157
  • Anahtar Kelimeler: Appendix, Computed tomography, Small bowel, Spigelian hernia, Strangulation
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Spigelian hernia is a rare lateral ventral abdominal hernia. These clinically elusive hernias are treacherous and have a real risk of strangulation. We present a patient with a strangulation of the small bowel and appendix in a right spigelian hernia, which was accurately demonstrated by spiral computerised tomography preoperatively and successfully treated with primary suturing reinforced with polypropylene mesh. With a high index of suspicion and the use of modern radiological technique, these "bewildering" hernias can be diagnosed and repaired relatively safely. © Springer-Verlag 2003.