Presentation
Right lower abdominal lump associated with pain, nausea and vomiting. Nil previous surgical history
Patient Data
Age: 80 years
Gender: Male
From the case:
Spigelian hernia causing small bowel obstruction
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Multiple dilated loops of small bowel throughout the abdomen including fecalised ileal loops in the right lower quadrant. A transition point is identified within a right-sided Spigelian hernia which contains free fluid and a loop of distal ileum. The hernia measures 54 x 21 mm in axial plane with a 25 mm neck. No evidence of pneumoperitoneum.
Case Discussion
This patient's hernia was reduced in the emergency department. They proceeded to a diagnostic laparoscopy to inspect the small bowel, which was viable, and a Spigelian hernia repair.