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A strangulated Spigelian hernia mimicking diverticulitis.
1Fletcher Allen Health Care, Department of Surgery, 111 Colchester Avenue, FL 466, Burlington, VT 0540, USA.
Summary
Spigelian hernias are often missed before surgery as they lack a palpable mass. This report details an incarcerated Spigelian hernia unexpectedly found during a CT scan for suspected diverticulitis.
Area of Science:
- Abdominal Surgery
- Radiology
- Gastroenterology
Background:
- Spigelian hernias are rare abdominal wall defects.
- They are typically interparietal, making pre-operative diagnosis challenging due to the absence of a palpable mass.
Observation:
- A computed tomography (CT) scan was performed for suspected diverticulitis.
- The scan incidentally revealed an incarcerated Spigelian hernia.
Findings:
- The incarcerated Spigelian hernia was a serendipitous finding on CT imaging.
- This highlights the utility of cross-sectional imaging in diagnosing unexpected conditions.
Implications:
- This case underscores the importance of recognizing Spigelian hernias on imaging, even when not the primary indication for the scan.
- Improved diagnostic accuracy for Spigelian hernias can lead to earlier surgical intervention and better patient outcomes.