Rectus sheath hernia
Updates to Article Attributes
A rectus sheath hernia is a rare type of anterior abdominal wall hernia where there is herniation of intra-abdominal content (mesenteric fat +/- bowel) usually through the posterior rectus sheath and therefore often termed a posterior rectus sheath hernia. The hernia can extend to various degrees.
These hernias are considered interparietal due to the herniating sac lying between the layers of the abdominal wall. The majority of these hernias are considered post-surgical or post-traumatic in aetiology, with occasional spontaneous cases being reported in the literature
Radiographic features
CT
May give best appreciation of anatomy and is usually seen as a hernia within a large portion of the rectus sheath.
History and etymology
They are have been thought to have first reported in medical literature by J Losanoff et.al in 1937 1-4.
See also
References changed:
- 1. Losanoff J, et.al. Spontaneous hernia through the posterior rectus abdominis sheath: case report and review of the published literature 1937-2008. (2009) Hernia : the journal of hernias and abdominal wall surgery. <a href="https://doi.org/10.1007/s10029-009-0481-6">doi:10.1007/s10029-009-0481-6</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/19234662">Pubmed</a> <span class="ref_v4"></span>
- 2. Ng CW, Sandstrom A, Lim G. Spontaneous posterior rectus sheath hernia: a case report. (2018) Journal of medical case reports. 12 (1): 96. <a href="https://doi.org/10.1186/s13256-018-1645-8">doi:10.1186/s13256-018-1645-8</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/29655368">Pubmed</a> <span class="ref_v4"></span>
- 3. Lenobel S et.al. Posterior rectus sheath hernia causing intermittent small bowel obstruction. (2014) Journal of radiology case reports. 8 (9): 25-9. <a href="https://doi.org/10.3941/jrcr.v8i9.2081">doi:10.3941/jrcr.v8i9.2081</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/25426248">Pubmed</a> <span class="ref_v4"></span>
- 4. Loureiro R, Marques A, Constantino J, Casimiro C. Laparoscopic approach for a spontaneous posterior rectus sheath hernia. (2019) Journal of surgical case reports. 2019 (5): rjz161. <a href="https://doi.org/10.1093/jscr/rjz161">doi:10.1093/jscr/rjz161</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/31186832">Pubmed</a> <span class="ref_v4"></span>
Systems changed:
- Gastrointestinal
Image 1 CT (C+ portal venous phase) ( create )
Unable to process the form. Check for errors and try again.