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Updated: Jul 4, 2026
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Published on: September 11, 2021
Outside-the-ribcage thoracic migration of a spigelian hernia
A J Cano-Maldonado1, J A Alcázar-Montero, J M González-Fernández
1General and Digestive Surgery Department, Complejo Hospitalario Arquitecto Marcide, Ferrol, Spain. acmedoc9@yahoo.es
Summary
This case report details an extremely rare instance of simultaneous lung and Spigelian hernias. The condition caused small bowel displacement from the abdomen into the thorax, external to the ribcage.
Area of Science:
- Medical Case Reports
- Surgical Pathology
- Abdominal Wall Abnormalities
Background:
- Spigelian hernias are rare abdominal wall defects.
- Lung hernias are exceptionally rare congenital or acquired conditions.
- Simultaneous occurrence of both is exceedingly uncommon.
Observation:
- A patient presented with a unique combination of lung and Spigelian hernias.
- The herniation resulted in small bowel displacement.
- The displacement extended from the abdomen towards the thorax, external to the ribcage.
Findings:
- Comprehensive iconography supports the presented case.
- Detailed discussion of hypothetical pathogenesis is provided.
- This case highlights an unusual anatomical presentation.
Implications:
- Enhances understanding of rare hernia presentations.
- Contributes to the literature on combined abdominal and thoracic wall defects.
- Informs diagnostic and surgical considerations for similar rare cases.
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