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Related Concept Videos

Appendicitis01:19

Appendicitis

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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...
28
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
930
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

30
Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
912
Hiatal Hernia01:25

Hiatal Hernia

67
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...
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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Incarcerated appendix in a Spigelian hernia.

Caroline Reinke1, Andrew Resnick1

  • 1Hospital of the University of Pennsylvania, Philadelphia, USA.

Journal of Surgical Case Reports
|June 20, 2014
PubMed
Summary
This summary is machine-generated.

Spigelian hernias are rare and often incarcerated. This case highlights a 71-year-old female with a Spigelian hernia containing an incarcerated appendix, successfully treated with laparoscopic repair and appendectomy.

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Area of Science:

  • Abdominal Surgery
  • Gastroenterology
  • Hernia Repair

Background:

  • Spigelian hernias are uncommon, accounting for 1-2% of all hernias.
  • They have a high likelihood of incarceration due to small fascial defects.
  • Delayed diagnosis is common, as illustrated by a 10-year history of undiagnosed pain.

Purpose of the Study:

  • To report a case of a Spigelian hernia with an incarcerated appendix.
  • To describe the successful laparoscopic management of this rare condition.

Main Methods:

  • A 71-year-old female presented with a new bulge and increasing right lower quadrant pain.
  • Ultrasound revealed a bowel-containing hernia.
  • Laparoscopic Spigelian hernia repair with appendectomy and biological mesh placement was performed.

Main Results:

  • The hernia sac contained an incarcerated appendix.
  • The patient underwent successful laparoscopic repair and appendectomy.
  • Postoperative recovery was uneventful, with complete resolution of pain.

Conclusions:

  • Laparoscopic repair is a viable option for Spigelian hernias, even with incarcerated contents.
  • Prompt surgical intervention can effectively resolve symptoms and prevent complications.
  • This case underscores the importance of considering rare hernias in the differential diagnosis of chronic abdominal pain.