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Richter-Type Spigelian Hernia Presenting With Small Bowel Obstruction: A Case Report
Mohammed Jameel1, Ahmad Alabood1
1Emergency Department, East Lancashire Teaching Hospitals, Blackburn, GBR.
Cureus
|November 25, 2025
Summary
Spigelian hernia, a rare abdominal wall defect, presents diagnostic challenges due to non-specific pain and deep masses. Prompt imaging and surgical repair are crucial for preventing complications like bowel strangulation.
Area of Science:
- Abdominal Surgery
- Gastroenterology
- Radiology
Background:
- Spigelian hernia is a rare ventral abdominal wall hernia (1-2% of all hernias) occurring along the semilunar line.
- It often presents with non-specific abdominal pain and carries a high risk of bowel incarceration and strangulation.
- Diagnosis can be challenging due to the hernia sac lying beneath the muscle, often with an absent palpable mass.
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