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Related Concept Videos

Design Example: Designing Water Slide01:18

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When designing a water slide, controlling the speed of water flow is crucial for rider safety while maintaining an exciting experience. As water flows down the slide, gravity causes it to accelerate, with its speed at the bottom depending on the height from which it starts. The higher the slide, the more potential energy the water has at the top, which is converted into kinetic energy as it descends, increasing its speed.
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Strangulated sliding spigelian hernia: A case report.

P O Igwe1, N A Ibrahim2

  • 1Department of Surgery, University of Port Harcourt Teaching Hospital(UPTH), Alakahia, Port Harcourt, Rivers State, Nigeria.

International Journal of Surgery Case Reports
|December 21, 2018
PubMed
Summary
This summary is machine-generated.

Spigelian hernias are rare and often mimic intestinal obstruction. Computed tomography (CT) scans aid in diagnosing strangulated Spigelian hernias, enabling successful surgical repair and reinforcement with nylon darning.

Keywords:
Nylon darnStrangulated sliding spigelian hernia

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Area of Science:

  • Abdominal Surgery
  • Gastroenterology
  • Radiology

Background:

  • Spigelian hernias are uncommon abdominal wall defects.
  • They frequently present with symptoms of intestinal obstruction, complicating diagnosis.
  • Computed tomography (CT) scans are crucial for identifying these hernias, especially when a mass is not apparent.

Purpose of the Study:

  • To report a case of a strangulated sliding left-sided Spigelian hernia.
  • To highlight the diagnostic utility of CT scans in such cases.
  • To describe the successful surgical management of a complex Spigelian hernia.

Main Methods:

  • A 56-year-old woman presented with abdominal pain and swelling, suggestive of intestinal obstruction.
  • A CT scan revealed an obstructed Spigelian hernia involving small bowel and mesentery.
  • Emergency herniorrhaphy included resection of gangrenous bowel, anastomosis, and repair of the fascial defect with nylon darning.

Main Results:

  • The patient had a strangulated Spigelian hernia with a 5cm x 4cm fascial defect.
  • The hernia sac contained gangrenous ileum and a portion of the urinary bladder.
  • Post-operative recovery was satisfactory, with no recurrence at six months.

Conclusions:

  • Pre-operative diagnosis of strangulated Spigelian hernia is challenging but achievable with CT imaging.
  • Surgical repair is effective, and nylon darning offers a viable reinforcement option when mesh is unavailable.