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Related Concept Videos

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Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...
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Herniated Intervertebral Disc l: Introduction

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Diverticular Disease of the Colon01:27

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Appendicitis01:19

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Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Appendicitis-I: Introduction01:22

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Related Experiment Video

Updated: Jun 5, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

Spigelian hernia.

T P Bhatia1, P Ghimire, M L Panhani

  • 1Department of General Surgery, Manipal College of Medical Sciences, Pokhara, Nepal. dr.tanujpaulbhatia@gmail.com

Kathmandu University Medical Journal (KUMJ)
|January 7, 2011
PubMed
Summary
This summary is machine-generated.

Spigelian hernias, rare lateral ventral hernias, are challenging to diagnose and carry a high risk of strangulation. Prompt diagnosis and surgical repair are crucial for managing these abdominal wall defects.

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Area of Science:

  • Abdominal Surgery
  • Surgical Anatomy
  • Hernia Repair

Background:

  • Spigelian hernia is a rare type of abdominal wall defect.
  • It occurs through the spigelian fascia, located between the rectus abdominis muscle and the semilunar line.
  • Approximately 1000 cases have been reported globally.

Observation:

  • The case involved a 36-year-old female with left lower abdominal pain and lumpiness, relieved by recumbency.
  • She experienced a spontaneous episode of severe abdominal pain.
  • Diagnosis was confirmed via CT scan.

Findings:

  • Spigelian hernias are interparietal, lacking subcutaneous swelling, making them difficult to diagnose.
  • These hernias have a significant risk of strangulation.
  • The patient underwent successful plication and onlay prolene mesh repair.

Implications:

  • Increased awareness of Spigelian hernia symptoms and signs is vital for timely diagnosis.
  • Early diagnosis and surgical intervention are essential to prevent complications like strangulation.
  • This case highlights the importance of advanced imaging in diagnosing rare hernias.