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Spigelian hernia

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
Mahdi Ben Dhaou, Mohamed Jallouli, Souhir Mifteh, Riadh Mhiri
No abstract text is available yet for this article.
January 2015: La Tunisie Médicale
Alexander A Gates, Naman S Desai, Aaron D Sodickson, Bharti Khurana, Jonathan D Gates
We present a case of a young man who fell off his motorbike 2 days before presentation to the hospital with a complaint of gastrointestinal upset and abdominal pain. Contrast-enhanced CT of the abdomen and pelvis demonstrated a right-sided traumatic spigelian hernia and an ascending colon injury necessitating operative repair of both.
December 2015: Emergency Radiology
László Veréb-Amolini, Thomas Betschart, Emilia Kiss, Oliver Ullrich, Stefan Wildi, Elisabeth Eppler
Atypical hernias are difficult to diagnose due to their rarity and often unspecific symptoms. In the literature there exist hints to peri-inguinal hernias, i.e. direct lateral hernia, but most of them are forms of Spigelian hernias. Since the majority were described during the first half of the past century or even earlier, only very few cases have been documented using modern diagnostic techniques. We report a unique case of a 51 year old patient presenting with an atypical inguinal hernia with concomitant inguinal and umbilical hernias in combination with cystic kidney disease and intracranial aneurysm...
2015: SpringerPlus
Claudio Spinelli, Silvia Strambi, Valentina Pucci, Josephine Liserre, Giacomo Spinelli, Carlo Palombo
Spigelian hernia (SH) is a surgical rarity in children, which occurs through slit-like defects in the anterior abdominal wall adjacent to the semilunar line, the convexity lateral line which joins the nine ribs to the pubic tubercle and signs the limit between the muscular and aponeurotic portion of transversus abdominis muscle. As there are no specific symptoms and signs, the diagnosis is difficult, especially in children. We report a case of SH that comes to our observation: a 14-year-old girl presented recurrent abdominal pain associated to intermittent palpable mass in the paraumbilical region...
June 2014: European Journal of Pediatric Surgery Reports
S L Chamary, V L Chamary
Both Spigelian and Morgagni hernias cause serious morbidity so early diagnosis and timely treatment are necessary. These two types of hernia are more commonly found on the right side of patients. They are rare individually in adults and even rarer in combination. So far, an association between the two hernias has only been reported on the right. We describe the first case of a Spigelian hernia and a Morgagni hernia in a 62-year-old woman, both occurring on the left side. Our accompanying video describes several laparoscopic features that will help lead to early detection and diagnosis...
March 2015: Annals of the Royal College of Surgeons of England
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