Spigelian hernia

Case contributed by Dr Huda B. Gharbia

Presentation

Severe left lower abdominal pain. History of appendectomy 2 years ago.

Patient Data

Age: 55 years
Gender: Female
CT

There is herniated small bowel loop through defect lateral to rectus muscle in the left lower abdomen, in linea semilunaris region, surrounded by minimal free fluid, enhanced bowel wall, causing proximal distended bowel.

Also noted another smaller hernia with fatty content on the right side.

Case Discussion

Herniation of bowel loops through linea semilunaris, at the lateral border of rectus abdominis muscle, suggestive of left obstructed spigelian hernia.

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Case information

rID: 67964
Published: 3rd May 2019
Last edited: 9th May 2019
Inclusion in quiz mode: Included

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