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Spigelian hernia

M M Ramírez-Ramírez, E Villanueva-Sáenz
No abstract text is available yet for this article.
February 14, 2017: Revista de Gastroenterología de México
Pralaya Khadka, Sunil K Sharma Dhakal
INTRODUCTION: Spigelian hernia is a rare entity, comprising 1-2% of all hernias. Various abdominopelvic viscera herniate through the defect in the Spigelian fascia and become incarcerated. Specifically in females, the ovary and/or the fallopian tube can herniate through this defect. This is the third reported case of such a hernia. PRESENTATION OF CASE: We report here a young lady aged 30 years with right-sided ovarian Spigelian hernia. She presented with a painful lump in the right lower quadrant of abdomen for 2 weeks...
January 28, 2017: International Journal of Surgery Case Reports
Raul Mederos, Jose R Lamas, Javier Alvarado, Moises Matos, Ivett Padron, Anika Ramos
INTRODUCTION: Spigelian hernias are a rare type of hernia which protrude through the abdominal wall at the semilunar line. They are especially difficult to diagnose due to their location and non-specific symptoms and are often overlooked because of their positioning between muscular layers. Patients may present with localized pain which can aid the diagnosis. CT and ultrasound are also helpful. PRESENTATION OF CASE: We present the case of a 75-year-old female patient who presented to Hialeah Hospital with a one-year history of abdominal pain localized to the left lower quadrant...
January 20, 2017: International Journal of Surgery Case Reports
V Webber, C Low, R J E Skipworth, S Kumar, A C de Beaux, B Tulloh
BACKGROUND: Spigelian hernias are said to be a rare condition of the elderly population, usually arising below the arcuate line. Local experience has led us to challenge these commonly held beliefs. METHODS: Operations for Spigelian hernia from 2006-2016 were identified from the Edinburgh Lothian Surgical Audit computerised database and case notes were reviewed. RESULTS: One hundred and one patients underwent surgery for 107 Spigelian hernias in the 10-year period...
January 17, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
M Natarajan, H M Alnajjar, C I Woodward, M Tshuma, T Marshall, M Rochester
We report an unusual case of an ectopic testis identified in a 37-year-old man presenting with acute severe right iliac fossa pain and an irreducible mass. Initially diagnosed as a Spigelian hernia, computed tomography and ultrasonography identified the presence of an ectopic testis in the abdominal wall. Interparietal testicular ectopia is an extremely rare condition. We present and discuss the first case in the literature of an ectopic testis located between the internal and external oblique muscle layers of the anterior abdominal wall in an adult...
February 2017: Annals of the Royal College of Surgeons of England
Karen Peeters, Frederik Huysentruyt, Peter Delvaux
Spigelian hernias are rare hernias, occurring through a defect in the Spigelian aponeurosis. Like other hernias, they may contain abdominal contents but are more likely to be incarcerated due to the small size of the fascial defect. Multiple intra-abdominal organs have reportedly been found in Spigelian hernias. A search of the literature showed only nine reported cases in which an appendix has been found within a Spigelian hernia. We present a patient with a history of lower abdominal pain since 10 weeks with a large intra-abdominal mass in the right iliac fossa...
November 29, 2016: Acta Chirurgica Belgica
Shimpei Matsui, Nobuhiro Nitori, Ayu Kato, Yoshifumi Ikeda, Yuko Kiatagwa, Hirotoshi Hasegawa, Koji Okabayashi, Masashi Tsuruta, Masaki Kitajima
INTRODUCTION: Spigelian hernia (SH) is a rare ventral hernia occurring near the lateral border of the rectus muscle. The treatment remains controversial and depends on institutional expertise. Although laparoscopic surgery is a good adaptation for the repair of ventral hernias, only a few cases have been reported in the literature. Here, we report a case of totally extra-peritoneal (TEP) repair for bilateral SHs. PRESENTATION OF CASE: A 74-year-old Japanese man presented with asymptomatic bulges in the right lower abdominal quadrant...
September 30, 2016: International Journal of Surgery Case Reports
Antonio Pinna, Maria Laura Cossu, Panagiotis Paliogiannis, Giorgio Carlo Ginesu, Alessandro Fancellu, Alberto Porcu
AIM: The aim of this case series is to describe the pathophysiological, clinical, and radiological features of Spigelian hernias, and to describe their modern surgical management. MATERIAL OF STUDY: We describe the clinical management of four cases of Spigelian hernias, and we discuss the main issues and controversies in the current scientific literature. RESULTS: In all the cases the clinical suspect arouses during the clinical examination of the patients, and it was confirmed through imaging techniques...
2016: Annali Italiani di Chirurgia
Ashkan Afshari, Lyly Nguyen, Steven J Hermiz, Philip N Chaipis
No abstract text is available yet for this article.
July 2016: American Surgeon
Thomas G Barnes, Douglas L McWhinnie
PURPOSE: Spigelian hernias (SHs) account for 1% to 2% of abdominal wall hernias. Traditionally they have been repaired using an open technique. Since 1992, laparoscopic methods have become increasingly popular with various techniques being described in the literature. This systematic review aims to represent the current trends in laparoscopic repair of SHs. MATERIALS AND METHODS: The databases MEDLINE and EMBASE were searched for appropriate terms regarding SH repair...
August 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Georgios Velimezis, Nikolaos Vassos, Georgios Kapogiannatos, Dimitrios Koronakis, Christos Salpiggidis, Evangelos Perrakis, Aristotelis Perrakis
No abstract text is available yet for this article.
April 1, 2016: Archives of Medical Science: AMS
Roney Johnson John, Sansho Elavumkal Ulahannan, John S Kurien, Aneesh Joseph, Annie Sandhya Kurien, Sandeep Abraham Varghese, Bindhya Thomas, Fobin Varghese
Hernia is an abnormal protrusion of an organ or tissue through a defect in its surrounding walls. It can be divided into internal, external and diaphragmatic hernias. Most of them can be asymptomatic. If they become symptomatic they can present with features of intestinal obstruction, incarceration or strangulation. In this case series we compare the incidence of these rare presentations of hernias with world literature and to warn surgeons not to cut the obstructing band in cases of internal hernias. In this case series, we review the clinical details of 7 rare presentations of hernia, who presented with various types of hernias to a tertiary care centre in Kerala over a period of one year...
March 2016: Journal of Clinical and Diagnostic Research: JCDR
Anand Pandey, Vipin Gupta, Shailendra Pal Singh, Rajesh Verma
No abstract text is available yet for this article.
January 2016: Journal of Indian Association of Pediatric Surgeons
Alicia L Patterson, Bryan Thomas, Adam Franklin, Chelsea Connor, Rana Pullatt
No abstract text is available yet for this article.
January 2016: American Surgeon
Daisuke Yoshida, Shinji Itoh, Nao Kinjo, Norifumi Harimoto, Seiji Maruyama, Hirofumi Kawanaka, Ken Shirabe, Akito Matsukuma, Shunji Kohnoe, Yoshihiko Maehara
Spigelian hernia is a rare congenital defect of the anterior abdominal wall located along the semilunar line through the aponeurosis fascia of the transversus abdominis muscle. It represents 1%-2% of all abdominal wall hernias. Few cases of laparoscopic treatment for Spigelian hernia have been reported, especially in Japan. However, several reports of laparoscopic surgery to repair Spigelian hernias have been published, and some have shown that the laparoscopic approach repair is feasible because it is associated with less morbidity and a shorter hospital stay than open surgery...
November 2015: Asian Journal of Endoscopic Surgery
Manoj Saha
Lipomas are commonest benign tumor and can occur at any part of the body, but intermuscular lipomas are very rare and usually occur at middle age or later. Intermuscular lipomas remain hidden till they attain a large size. They commonly appear on anterior abdominal wall. We treated a case of intermuscular lipoma in a 4-year-old girl. It presented as a bulge at right iliac fossa during straining; its location and symptoms were similar to that of Spigelian hernia. Actual diagnosis was made under general anesthesia and complete surgical excision was done...
October 2015: Journal of Indian Association of Pediatric Surgeons
J Derek Stensby, Jonathan C Baker, Michael G Fox
The lateral abdominal wall is comprised of three muscles, each with a different function and orientation. The transversus abdominus, internal oblique, and external oblique muscles span the abdominal cavity between the iliocostalis lumborum and quadratus lumborum posteriorly and the rectus abdominis anteriorly. The lateral abdominal wall is bound superiorly by the lower ribs and costal cartilages and inferiorly by the iliac crest and inguinal ligament. The lateral abdominal wall may be acutely or chronically injured in a variety of athletic endeavors, with occasional acute injuries in the setting of high-energy trauma such as motor vehicle collisions...
February 2016: Skeletal Radiology
Douglas A Canning
No abstract text is available yet for this article.
July 2015: Journal of Urology
Aaron S Griffin, Nathan R Schaefer, Eshwarshanker Jeyarajan, Trent Cross
INTRODUCTION: Internal abdominal hernias account for 1% of all hernias but 5.8% of all bowel obstructions and hence are of significant clinical importance. Similarly Spigelian hernias account for only 0.12-2% of all abdominal wall hernias. CASE PRESENTATION: We present and discuss the management of a case that presented with concurrent falciform ligament internal abdominal hernia and Spigelian hernia. We believe this is the first reported case of such an occurrence in the literature...
2015: International Journal of Surgery Case Reports
K N Srivastava, Amit Agarwal
Spigelian hernias, also called as lateral ventral hernias, are rare hernias to present themselves in clinical practice. The significance of these hernias lies in the fact that they are commonly intraparietal hernias and are, hence, difficult to diagnose clinically. Moreover, the neck of these hernias is usually small, posing a fair risk of strangulation. With the advancement in laparoscopic hernia repair, there is evidence that Spigelian hernias too can be repaired laparoscopically, thereby causing less morbidity and shorter hospital stay...
April 2015: Indian Journal of Surgery
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