Incidence of arcuate line hernia in patients with abdominal complaints: radiological and clinical features

Bloemen, Arthur; Kranendonk, J.; Sassen, Sander; Bouvy, Nicole D.; Aarts, Frits

doi:10.1007/s10029-019-02067-8

Cited by 7 publications

(7 citation statements)

References 13 publications

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“…These hernias are characterized by a wide orifice, likened to ‘the top of a mitten’ 2 . Consequently, abdominal organs are able to move in and out of the hernia easily 3 . This may account for the intermittent symptoms described by our patient.…”

Section: Figurementioning

confidence: 72%

Laparoscopic enhanced view total extraperitoneal repair for rare and elusive arcuate hernia

Kollias

Cribb

Ganguly

et al. 2021

ANZ Journal of Surgery

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Section: Figurementioning

confidence: 72%

Laparoscopic enhanced view total extraperitoneal repair for rare and elusive arcuate hernia

Kollias

Cribb

Ganguly

et al. 2021

ANZ Journal of Surgery

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“…In the supraumbilical and part of the infraumbilical abdominal wall, the rectus abdominis muscle is covered on the dorsal side by the PRS, a plate of aponeurotic tissue that is formed by the fascia transversalis and posterior lamina of the internal oblique muscle. Somewhere between the umbilicus and pubic bone, the posterior lamina of the internal oblique muscle joins the anterior lamina on the ventral side of the rectus muscle, leaving only the transversus fascia on the dorsal side as areolar tissue [ 17 ]. This level is called the AL.…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of ALH is unclear, and the underlying reason is that most ALHs are asymptomatic and remain unclassified, and the diagnosis is often incidental or could be misclassified as another abdominal hernia. To investigate the incidence of ALH, two retrospective large cohort studies using CT have been reported [ 17 , 21 ]. Courier et al retrospectively analyzed a continuous series of 315 unselected patients and classified AL abnormalities.…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of AL abnormality (G1, G2, and G3) is higher in men, with a reported M:F ratio of 12.5:1 [ 21 ]. Bloemen et al [ 17 ] retrospectively analyzed 415 patients who presented to the emergency department for surgical consultation with abdominal complaints and who underwent CT but did not have a definitive diagnosis. ALH was classified according to the definition of Courier et al In the series, AL abnormality was found in 11.3% of the patients, and actual ALH was found in 3.4% of the patients.…”

Section: Discussionmentioning

confidence: 99%

“…Diabetes mellitus and the presence of an aneurysm of the abdominal aorta were also seen more often in patients with ALH. Among patients with ALH, correlation with clinical complaints was found in half of the patients [ 17 ]. The results of these two studies suggest that it is important to suspect ALH in patients with abdominal complaints.…”

Section: Discussionmentioning

confidence: 99%

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Single-incision laparoscopic repair for an arcuate line hernia: a case report

Fukunaga

Kasanami

2021

surg case rep

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Background The arcuate line is the inferior margin of the posterior layer of rectus abdominis sheath. An arcuate line hernia is a parietal interstitial hernia consisting of ascending protrusion of intraperitoneal contents above the arcuate line. Arcuate line hernias are rare, and fewer than 20 cases undergoing surgical repair have been reported. Various surgical approaches were used in previous cases, and there is no consensus regarding the ideal repair method. We report the first case of an arcuate line hernia repaired using single-incision laparoscopic surgery. Case presentation The patient was a 78-year-old man who presented with a history of intermittent lower abdominal quadrant pain of more than 2 month’s duration. He had not previously undergone abdominal surgery, but had a history of mycobacterial lung disease and asthma. His vital signs were normal on presentation, and he experienced no vomiting or nausea. On palpation, his abdomen was flat and soft, and no mass was palpable. However, there was slight tenderness in the right lower quadrant. Blood laboratory test results were within normal ranges. Computed tomography revealed small bowel protrusion between the rectus abdominis and the posterior rectus sheath, and an arcuate line hernia was suspected and subsequently confirmed intraoperatively. The patient underwent single-incision laparoscopic repair with the intraperitoneal onlay mesh technique with tacks and with care to avoid the inferior epigastric vessels. The operation time was 30 min, and no intra- or post-operative complications occurred. Surgery relieved his symptoms, with no recurrence within 1 year postoperatively. Conclusions Single-incision laparoscopic surgery was performed easily and successfully in this rare patient with arcuate line hernia. Arcuate line hernia should be considered in patients presenting with abdominal symptoms, and single-incision laparoscopic repair should be considered for repair.

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Anatomie der vorderen Bauchdecke

Renard,

Donadieu

2024

Roboterassistierte Hernienchirurgie

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Incidence of arcuate line hernia in patients with abdominal complaints: radiological and clinical features

Cited by 7 publications

References 13 publications

Laparoscopic enhanced view total extraperitoneal repair for rare and elusive arcuate hernia

Laparoscopic enhanced view total extraperitoneal repair for rare and elusive arcuate hernia

Single-incision laparoscopic repair for an arcuate line hernia: a case report

Anatomie der vorderen Bauchdecke

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