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Incarcerated small bowel in a spigelian hernia

K Tsalis1, E Zacharakis, I Lambrou

  • 14th Surgical Department Aristotle University of Thessaloniki, G. Papanikolaou General Regional Hospital Exohi, 57010 Thessaloniki, Greece. Ctsalis@med.auth.gr

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|March 27, 2004
PubMed

Insights

A 68-year-old man with intestinal obstruction was diagnosed with an incarcerated spigelian hernia via computed tomography. Surgical mesh repair was successful, with no recurrence during a 2-year follow-up.

Area of Science:

  • Abdominal surgery
  • Gastroenterology
  • Medical imaging

Background:

  • Spigelian hernias are rare abdominal wall defects.
  • Incarcerated spigelian hernias can cause intestinal obstruction.
  • Accurate diagnosis is crucial for timely surgical intervention.

Observation:

  • A 68-year-old male presented with intestinal obstruction and an abdominal mass.
  • Computed tomography revealed an incarcerated spigelian hernia.
  • Surgical repair involved mesh sutured to the internal oblique muscle and rectus sheath.

Findings:

  • The patient underwent successful mesh repair of the incarcerated spigelian hernia.
  • The postoperative recovery was uneventful.
  • No recurrence was observed during a 2-year follow-up period.

Implications:

  • Early diagnosis and surgical treatment of incarcerated spigelian hernias are recommended.
  • Computed tomography is a valuable tool for diagnosing incarcerated hernias.
  • Mesh repair offers a durable solution for spigelian hernias.

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