Spigelian hernia: traumatic

Case contributed by Dr Chris O'Donnell

Presentation

Handle-bar injury to right lower abdominal wall with bruising and acutely painful, palpable lump after coughing.

Patient Data

Age: 50
Gender: Male
CT

Typical location of a Spigelian hernia lateral to the rectus abdominis muscle. In this case it is traumatic due to a direct bicycle handle-bar impact injury at the site. This is very unusual. Note soft tissue swelling in the adjacent subcutaneous fat as well as the clinical skin bruising.

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Case information

rID: 17944
Case created: 27th May 2012
Last edited: 16th Oct 2015
Inclusion in quiz mode: Included

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