Hérnia De Spiegel À Esquerda: Descrição De Caso Clínico E Análise Da Literatura

Abstract

: As hérnias de Spiegel (HS) apresentam-se como um defeito raro da parede abdominal, correspondendo a 1-2% das hérnias da parede abdominal anterior. O diagnóstico pode ser particularmente difícil pelo quadro clínico vago. Normalmente têm indicação cirúrgica pelo risco de encarceramento e estrangulamento. Este artigo busca descrever o caso cínico de uma hérnia de Spiegel e analisar a abordagem da literatura sobre essa patologia.

Spiegel Hernia After Videolaparoscopic Cholecystectomy: A Case Report

“…Spiegel's Hernia (SH) is a rare entity (0.12-2% of abdominal hernias), and represents a defect in the abdominal wall at the junction of the lateral edge of the rectus abdominis muscle and the medial edge of the transversus abdominis muscle, occurring in the semilunar line below the umbilicus, with congenital or acquired etiology 2,3 . It consists of the protrusion of a peritoneal sac that may contain omentum, small intestine, sigmoid and transverse colon, cecum, appendix or Meckel's diverticulum, or even preperitoneal fatty tissue 1 .…”

“…It consists of the protrusion of a peritoneal sac that may contain omentum, small intestine, sigmoid and transverse colon, cecum, appendix or Meckel's diverticulum, or even preperitoneal fatty tissue 1 . Due to the non-specific symptomatology, it can be a diagnostic challenge 2 . In most cases, it affects women in their fourth decade of life with risk factors that increase intra-abdominal pressure (IAP) or weaken the abdominal fascia, such as: obesity, multiparity, chronic obstructive pulmonary disease, ascites and chronic constipation.…”