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Giant Spiegelian hernia and abdominal trauma: cause or coincidence?
Gerardo Gil-Galindo1, Rey Jesús Romero-González, Mario Alberto Flores-Salinas
1Cirugía General, Hospital Metropolitano Dr. Bernardo Sepúlveda, Secretaría de Salud de Nuevo León, San Pedro Garza García, Nuevo León, Mexico.
Background:
Spiegelian hernia is an uncommon entity and occurs as a result of a defect in the linea semilunaris located in the lateroventral abdominal wall.
Clinical Case:
We report the case of a 44-year-old female with a history of progressive abdominal swelling. Clinical history included a previous blunt trauma to the abdomen. A Spiegelian hernia with a large aponeurotic defect (7 × 12 cm) and sac (15 × 15 cm) was diagnosed. A literature review of similar topics was performed.
Conclusion:
Weakness presented in the linea semilunaris in Spiegelian hernia may be caused either spontaneously or as a consequence of factors that increase intra-abdominal pressure. Otherwise, it is important to unify the terms related to the size of this entity in order to establish a correct classification.
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