Spigelian hernia

Case contributed by Dr Maulik S Patel

Presentation

Left lower abdominal wall swelling; more prominent during physical exercise - 15 days.

Patient Data

Age: 65
Gender: Male
Modality: Ultrasound

A heterogeneous hyperechoic lesion (24 x 21 x 11 mm) with internal linear strands noted in left lower infraumbilical abdominal wall. Lesion is solid with few blood vessels. It is located between lateral margin of left rectus abdominis and medial border of left oblique muscle.
It extends superficial to left external oblique. Neck of lesion measures 11 x 10 mm.
Lesion is not reducible on compression.

Case Discussion

Diagnosis: Spigelian hernia containing fat.

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Case Information

rID: 13796
Case created: 17th May 2011
Last edited: 18th Dec 2015
Inclusion in quiz mode: Included

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