A Spigelian hernia: Single-center experience in an uncommon hernia

Chaouch, Mohamed; Nacef, Karim; Chaouch, Asma; Khalifa, Mohamed Ben; Boudokhane, M.

doi:10.4103/ijawhs.ijawhs_9_19

Cited by 4 publications

(8 citation statements)

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“…Even if there is not much substantial difference reported about sex, it has been shown that the incidence of Spigelian hernia is more frequent in females than in males [4]. Abdominal swelling, abdominal pain, and signs of intestinal obstruction are common manifestations of Spigelian hernia [4]. In our case, the 76-year-old female came with the same symptoms mentioned above.…”

Section: Discussionsupporting

confidence: 60%

“…Spigelian hernia is an uncommon abdominal hernia with 0.1 to 2% of all abdominal defects [1]. It is commonly seen in patients aged between 40 and 70 years as it was in our case report [4]. Even if there is not much substantial difference reported about sex, it has been shown that the incidence of Spigelian hernia is more frequent in females than in males [4].…”

Section: Discussionsupporting

confidence: 50%

“…It is commonly seen in patients aged between 40 and 70 years as it was in our case report [4]. Even if there is not much substantial difference reported about sex, it has been shown that the incidence of Spigelian hernia is more frequent in females than in males [4]. Abdominal swelling, abdominal pain, and signs of intestinal obstruction are common manifestations of Spigelian hernia [4].…”

Section: Discussionmentioning

confidence: 53%

“…We corrected the defect using a gold standard technique, mesh repair and fixed the mesh under layers using Nylon 0, from the lower part of the inguinal ligament and up to the sheath of the muscles (Figure 5). In large defects, mesh repair is the best surgical treatment of Spigelian hernia and has good results according to Chaouch et al [4].…”

Section: Discussionmentioning

confidence: 99%

“…However, vague abdominal pain can be associated with it. Severe complications marked its evolution such as strangulation in up to 24%, and patients should be offered an immediate surgical management [4, 5].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Large Strangulated Spigelian Hernia: Management of an Uncommon Presentation of Abdominal Hernias in Central Uganda

Wasingya

Sikakulya

Peter

et al. 2019

Case Reports in Surgery

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Background Spigelian hernia is an uncommon presentation of abdominal hernias with 0.1-2%. We report a case of a large strangulated Spigelian hernia, an uncommon presentation of abdominal hernias, and its management in a health facility in Central Uganda. Case Presentation A 76-year-old female presented with a 2-day history of colicky abdominal pain, bilious vomiting, and abdominal distension. On abdominal ultrasound scan, an abdominal wall defect measuring 4.45 cm with herniated bowel loops in the left anterior abdominal region with mild fluid collection in the hernia sac was seen. Conservative management for intestinal obstruction which included putting the patient on nil per os, NG tube decompression, and soapy enema was instituted, and surgery was done on the second day of admission. Intraoperatively, using a Rutherford-Morrison incision, we found a large defect at the Spigelian aponeurosis, with an inflamed sac protruding. The Spigelian hernia was repaired with a mesh under layers. The patient recovered uneventfully and was discharged 10 days after surgery. Conclusion Clinicians and especially general surgeons might be aware of this rare condition in most of the anterior abdominal swellings. Strangulation is the commonest complication of Spigelian hernia, and surgical management remains the mainstay of its treatment.

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Section: Discussionsupporting

confidence: 60%

Section: Discussionsupporting

confidence: 50%