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Related Concept Videos

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...
74
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

54
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...
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Abdominal Regions and Quadrants01:19

Abdominal Regions and Quadrants

6.9K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

38
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
38
Large Intestine01:09

Large Intestine

330
The large intestine is divided into three main regions: the cecum, colon, and rectum. Extending from the ileocecal valve to the anus, it frames the small intestine on three sides.
The ileocecal sphincter, a mucous membrane fold, guards the opening from the ileum to the large intestine. This valve permits material from the small intestine to pass into the large intestine. Attached to the ileocecal valve is the cecum. This small pouch, approximately 6 cm long, has a twisted, coiled tube known as...
330
Gallbladder01:17

Gallbladder

270
The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins...
270

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Updated: May 22, 2025

Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Spigelian hernia containing an appendix.

Thomas Stubley1, Gerard McCabe2, Nicholas T Ventham2

  • 1Department of Colorectal Surgery, Western General Hospital, Edinburgh, UK thomas.stubley@hotmail.co.uk.

BMJ Case Reports
|March 25, 2025
PubMed
Summary
This summary is machine-generated.

A rare Spigelian hernia containing the appendix can cause chronic abdominal pain. This condition is often challenging to diagnose pre-operatively but can be safely treated with surgery, preserving the appendix.

Keywords:
Anatomic VariationGeneral surgery

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Area of Science:

  • Gastroenterology
  • Surgical Case Reports
  • Abdominal Imaging

Background:

  • Spigelian hernias are rare anatomical defects.
  • Herniation of the appendix is an uncommon presentation.
  • Chronic abdominal pain and bloating can have diverse etiologies.

Purpose of the Study:

  • To report a case of Spigelian hernia containing an appendix.
  • To highlight diagnostic challenges and successful management.

Main Methods:

  • Case presentation with detailed clinical history.
  • Diagnostic imaging utilizing Computed Tomography (CT).
  • Surgical intervention for hernia repair.

Main Results:

  • A Spigelian hernia sac was found to contain the appendix.
  • No evidence of appendicitis or ischemia was observed in the herniated appendix.
  • Successful surgical management without appendectomy.

Conclusions:

  • Spigelian hernia with appendiceal involvement is a rare cause of persistent abdominal symptoms.
  • CT imaging is crucial for pre-operative diagnosis.
  • Conservative surgical management, preserving the appendix, is a safe and effective option.