DOI: http://dx.doi.org/10.18203/2349-2902.isj20200839

Spigelian hernia case report and review of literature

Saad Slaiki, Amine Hamdane, Hicham El Bouhaddouti, Abdelmalek Ousadden, Khalid Ait Taleb, El Bachir Benjelloun

Abstract


Spigelian hernia is rare and accounts for less than 0.1% of abdominal wall hernias. It is often diagnosed at the complication stage. Authors report the case of a 48-year-old obese patient who had a painful swelling of the right iliac fossa. Morphological examination data were in favour of a strangled spigelian hernia and surgical exploration had shown a hernial sac with epiploic contents with a narrow collar. It was performed a resection of the retracted epiploon with simple raphy. The postoperative course was uneventful. Diagnostic and therapeutic difficulties are discussed through a literature review.


Keywords


Occlusion, Spigelian hernia, Surgery

Full Text:

PDF

References


Richards AT. Spigelian Hernias. Opera Tech Gen Surg. 2004:6;228-39.

Noomene R, Bouhafa A, Maamer AB, Haoues N, Oueslati A, Cherif A. Hernies de Spiegel. La Presse Méd. 2014;43(3):247-51.

Mittal T, Kumar V, Khullar R, Sharma A, Soni V, Baijal M, et al. Diagnosis and management of Spigelian hernia: A review of literature and our experience. J Mini Access Surg. 2008;4(4):95.

Ribeiro EA, Cruz Junior RJ, Moreira SM. Intestinal obstruction induced by a giant incarcerated Spigelian hernia: case report and review of the literature. Sao Paulo Med J. 2005;123(3):148-50.

Shih YC, Sun HP. Spigelian hernia showing itself as a left lower abdominal mass. Form J Surg. 2014;47(2):78-81.

Majdoub KH, Zahid F, Anoune H, Toughrai I, Laalim SA, Mazaz K. Spigelian hernia: report of one case. Pan African Med J. 2010;4:5.

Abid M, Mzali R, Feriani N, Trabelsi A, Amar M, Beyrouti M. Hernie DE. Spiegel: about a case and literature review. RTSM Tuni Mil Health journal. 2010;12(1):57-9.

Rakototiana A, Rakoto-Ratsimba H, Hunald F, Razatimanjato N, Rambel H, Laborde Y. Hernie de Spiegel complements of neural fascia of the abdominal wall. A propos d'un cas. Rev Trop Chir. 2008;2:5-7.

Eubanks S, Sabiston DC, Lyerly HK. Tratado de patología quirúrgica. Hernias. 5th ed. México D.F.: McGraw-Hill Interamericana; 1999: 1316.

Wiedeman JE, Clay J. The open mesh repair of Spigelian hernia. Am J Surg. 2008;196(3):460-1.