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Laparoscopic and Open Repair of an Intercostal Abdominal Hernia
Erick R Guerra Bocanegra1, Ana P Rábago Jamaica1, Hector M Alcaraz Amaya1
1General Surgery, Swiss Hospital, Monterrey, MEX.
Insights
Intercostal hernias, rare thoracoabdominal wall defects, require dynamic imaging like CT with Valsalva for diagnosis. Individualized surgical repair, combining laparoscopic and open methods, is effective for complex cases.
Area of Science:
- General Surgery
- Abdominal Wall Surgery
Background:
- Intercostal hernias are infrequent defects in the thoracoabdominal wall.
- Lateral abdominal wall hernias can present as progressive bulging.
Abstract:
Intercostal hernias are uncommon defects of the thoracoabdominal wall. We present the case of a 53-year-old male patient with progressive bulging of the left lateral abdominal wall. Computed tomography (CT) with the Valsalva maneuver demonstrated disruption of the left external oblique muscle and muscular asymmetry consistent with a hernia defect. Surgical repair was successfully performed using a combined laparoscopic and open approach. This case highlights the importance of dynamic imaging for diagnosis and the role of an individualized surgical strategy in the management of complex lateral abdominal wall defects.
