Incarcerated spiegel hernia: laparoscopic intraperitoneal onlay mesh plus repair: a case report

André Lopes; Hugo Mesquita; José P. Pinto; Andreia Santos; Ricardo Fernandes; Anita Santos; Inês Peixoto; Rita Araújo; Carlos Alpoim

doi:10.18203/2349-2902.isj20243784

Authors

André Lopes Department of General Surgery, Hospital da Senhora da Oliveira, Guimarães, Portugal
Hugo Mesquita Department of General Surgery, Hospital da Senhora da Oliveira, Guimarães, Portugal
José P. Pinto Department of General Surgery, Hospital da Senhora da Oliveira, Guimarães, Portugal
Andreia Santos Department of General Surgery, Hospital da Senhora da Oliveira, Guimarães, Portugal
Ricardo Fernandes Department of General Surgery, Hospital da Senhora da Oliveira, Guimarães, Portugal
Anita Santos Department of General Surgery, Hospital da Senhora da Oliveira, Guimarães, Portugal
Inês Peixoto Department of General Surgery, Hospital da Senhora da Oliveira, Guimarães, Portugal
Rita Araújo Department of General Surgery, Hospital da Senhora da Oliveira, Guimarães, Portugal
Carlos Alpoim Department of General Surgery, Hospital da Senhora da Oliveira, Guimarães, Portugal

DOI:

https://doi.org/10.18203/2349-2902.isj20243784

Keywords:

Spiegel's hernia, Laparoscopic surgery, IPOM plus, Case report

Abstract

Spiegel hernia (SH) is a rare lateral ventral hernia. Due to its anatomic location, diagnosis can be challenging and often delayed. Incarceration rates are significantly high, increasing the risk of strangulation. Therefore, surgery is the primary treatment. We present the case of a 78-year-old female patient admitted to the emergency room for intestinal obstruction due to an incarcerated SH. The patient underwent exploratory laparoscopy with intraperitoneal onlay mesh (IPOM) plus repair.

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