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Related Experiment Video

Updated: Jul 2, 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

367

Spigelian Hernia: A Case report.

Prinsa Shrestha1, Gaurab K C1, Bidur Acharya1

  • 1Department of General Surgery, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.

JNMA; Journal of the Nepal Medical Association
|February 27, 2024
PubMed
Summary
This summary is machine-generated.

Spigelian hernias, rare abdominal wall defects, can present with atypical symptoms like epigastric pain. Early diagnosis via imaging and surgical repair with mesh ensures good patient outcomes.

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Area of Science:

  • Abdominal surgery
  • Diagnostic imaging
  • Gastroenterology

Background:

  • Spigelian hernias are uncommon ventral hernias occurring through the Spigelian fascia.
  • These hernias often lack external swelling, making clinical diagnosis challenging.
  • High risk of incarceration necessitates timely diagnosis and treatment.

Observation:

  • A 51-year-old female presented with 5 days of epigastric pain.
  • Computed tomography and upper gastrointestinal endoscopy revealed Spigelian hernia, esophagitis, and antral gastritis.
  • Diagnostic laparoscopy confirmed the Spigelian hernia.

Findings:

  • Transabdominal preperitoneal repair using prolene mesh was successfully performed.
  • The patient experienced an uneventful postoperative recovery.
  • This case highlights the diagnostic utility of imaging for atypical Spigelian hernias.

Implications:

  • Spigelian hernias require a high index of suspicion due to their potential for atypical presentation.
  • Advanced imaging modalities are crucial for accurate diagnosis.
  • Surgical intervention offers effective management with favorable outcomes.