Spigelian hernia

Presentation

Complaint of pain in left iliac fossa with onset 3 days before admission. Physical exam shows pain with palpation, done with limitations due to patient's obesity class III.

Patient Data

Age: 30 years
Gender: Male
CT

Spielgian hernia between left lateral border of rectus abdominis muscle and ipsilateral semilunar line, with peritoneal fat inside hernial sac.

The mild hyperattenuation of adipous tissue shows inflammatory process, related with patient's pain complaint.

CT

Annotated image

Annotated image showing key structures.

Case Discussion

Patient's pain caused by a Spiegelian hernia, which showed inflammation signs of the fat tissues involved.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.