DOI: http://dx.doi.org/10.18203/2349-2902.isj20151112

Spigelian hernia: a rare case presentation

Hemant Panditrao Mhatre, Vijay Bhaskarrao Kanake, Vipul Versi Nandu

Abstract


Spigelian hernia is a variety of abdominal wall hernia occurring through a slit like defect in the anterior abdominal wall (semilunar line) at the level of arcuate lines. It is a very rare with only thousand cases reported in literature. It constitutes 0.12% of the abdominal wall hernia. Thorough clinical examination with radiological scans help in diagnosis of this rare entity. Treatment of Spigelian hernia is operative repair once the diagnosis has been confirmed given the risk of incarceration. Here we report this interesting case of Spigelian hernia in a 50 years female as a rare entity among all external abdominal wall hernias.


Keywords


Spigelian, Hernia, Semilunar line, Arcuate line

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References


Spiegel, Adriaan Van Den. (also Spieghel, Spigelius, Spiegelius, Adriano Spigeli). Botany, anatomy, medicine. (b. Brussels, Belgium, 1578; d. Padua, Italy, 7 April 1625), Available at: http://www.encyclopedia.com/doc/1G2-2830904102.html.

Klinkosch JT. Programma quo divisionem herniarum, novumque herniae ventralis specium proponit. Rotterdam: Benam; 1764.

Spangen L. Spigelian hernia. Surg Clin North Am. 1984:64:351-66.

Ray NK, Sreeramulu PN, Krishnaprasad K. Spigelian hernia: fascia lata repair is an alternative option in absence of prolene mesh. JIMA. 2002 Jun;100:370-1.

Spangen L. Spigelian hernia. World J Surg. 1989;13(5):573-80.

Howlihan TJ. A review of Spigelian hernia. Am J Surg. 1976;131:734-5.

Javed PJ, Grenberg GA, Brooks DC. Spigelian hernia. In: Zinner MJ, Ashley SW, eds. Maingots Abdominal Operations. 12th ed. New York: McGraw Hill Medical; 2013: 123-155.

Raveenthiran V, Pichumani S. Richter’s hernia in Spigelian hernia. Indian J Gastroenterol. 2000;19:36-7.

Nozoe T, Funahashi S, Kipamura M, Ishikawa H, Suehiro T, Iso Y, et al. Ileus with incarceration of Spigelian hernia. Hepatogastroenterology. 1999;46:1010-2.

Testa T, Fallo E, Celoria G, Beatini M, Rollandi R, Nardini A, et al. Spigelian hernia: its echotomographic diagnosis and surgical treatment. G Chir. 1992;13:29.

Gedeban TM, Neubauer W. Laparoscopic repair of bilateral Spigelian and Inguinal hernias. Surg Endosc. 1998;12:1424.

Moreno-Egea, Flores B, Girela E, Martin JG, Aguayo JL, Canteras M. Spigelian hernia: bibliographical study and presentation of a series of 28 patients. Hernia. 2002;6:167-70.