DOI: https://dx.doi.org/10.18203/2349-2902.isj20215165
Published: 2021-12-28

An unusual case of right iliac fossa lump-spigelian hernia: a case report

Birma Ram, Manoj Gopinath, Saroj Chaudhary, Desymol Johnson

Abstract


Spigelian hernia is a relatively uncommon hernia of anterior abdominal wall, occurring in different anatomical tissue planes. It is a variant of inter-parietal hernia. Preoperative diagnosis of obstructed inter-parietal hernia is based on imaging. Once correctly diagnosed it is easily amenable to surgical repair. We present a case of Spigelian hernia presenting as right iliac fossa lump with features of small bowel obstruction.


Keywords


Spigelian hernia, intestinal obstruction, Ultrasonography, Computed tomography

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References


Sharma H, Rich L, Kelly MD. Spigelian hernia presenting as an appendicular mass. South Med J. 2007;100:1037-8.

Zaragoza C, Peiró F, Bebek H, Castaño S, Aguado RG, Vivó M et al. Spiegelian hernia: ambulatory surgical treatment. Ambulatory surgery. 2001;9(3):127-9.

Reddy KM, Stellakis ML, Khaliq T, Fiennes AG. Interparietal hernia mimicking malignant small bowel obstruction. Hernia. 1999;3(1):37-8.

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. Journal of minimal access surgery. 2008;4(4):95.

Hojer AM, Rygaard H, Jess P. CT in the diagnosis of abdominal wall hernias: a preliminary study. Eur Radiol. 1997;7(9):1416-8.

Truong SN, Jansen M. Diagnostic imaging in the evaluation and management of abdominal wall hernia. In: Fitzgibbons RJ, Greenburg AG (eds) Nyhus & Condon’s Hernia. Lippincott Williams & Wilkins, Philadelphia. 2002;81-94.

Gungor B, Topgul K, Bilgin M, Malazgirt Z. Interparietal herniation: a rare cause of intestinal obstruction. Journal of Medical Cases. 2010;1(2):58-60.

Light D, Chattopadhyay D, Bawa S. Radiological and clinical examination in the diagnosis of Spigelian hernias. The Annals of The Royal College of Surgeons of England. 2013;95(2):98-100.

Toms AP, Dixon AK, Murphy JM, Jamieson NV. Illustrated review of new imaging techniques in the diagnosis of abdominal wall hernias. British journal of surgery. 1999;86(10):1243-9.

Zuvela M, Milicevic M, Galun D, Djuric-Stefanovic A, Bulajic P, Palibrk I. Spigelian hernia repair as a day-case procedure. Hernia. 2013;17(4):483-6.