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Related Experiment Video

Updated: Aug 29, 2025

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

447

Non-strangulated Spigelian Hernia: A Case Report.

Rangin Haji Rahman1, Anila Punjwani1, Janna Notario-Ringwald1

  • 1General Surgery, Saint James School of Medicine, Park Ridge, USA.

Cureus
|September 9, 2022
PubMed
Summary
This summary is machine-generated.

Spigelian hernia, a rare abdominal wall defect, can present with vague symptoms. This case highlights successful laparoscopic repair of a non-strangulated left spigelian hernia.

Keywords:
abdominal herniaabdominal surgeryherniaipomipom pluslaparoscopic surgerymeshspigelian

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Area of Science:

  • Abdominal Surgery
  • Gastroenterology
  • Hernia Repair

Background:

  • Spigelian hernia is a rare ventral hernia, accounting for 0.1-2% of all hernias.
  • It often presents with elusive symptoms, making diagnosis challenging.
  • High risk of acute complications necessitates early consideration in differential diagnoses.

Observation:

  • A 74-year-old female presented with left flank pain, dysuria, and frequency, initially attributed to pyelonephritis.
  • An incidental CT scan revealed a non-strangulated left spigelian hernia containing small bowel.
  • The patient subsequently developed increasing abdominal pain localized to the hernia site.

Findings:

  • The spigelian hernia was successfully repaired laparoscopically on the same day as admission.
  • The repair technique utilized was an intraperitoneal onlay mesh-plus procedure.
  • The hernia was non-strangulated at the time of diagnosis and repair.

Implications:

  • Spigelian hernias require consideration in the differential diagnosis of abdominal pain, especially in the lower quadrants.
  • Prompt diagnosis and management are crucial due to the risk of acute complications.
  • Laparoscopic repair offers a minimally invasive option for managing spigelian hernias.