Publication: Spigelian hernia
Date
2010
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
Abstract
A Spigelian hernia (or lateral ventral hernia) is a hernia through the spigelian fascia, which is the aponeurotic layer
between the rectus abdominis muscle medially, and the semilunar line laterally. So far, about 1000 cases have been
reported worldwide. These hernias are difficult to diagnose as they do not present with a subcutaneous swelling and have
high risk of going for strangulation. We discuss the case of a 36 year old female who presented with history of pain and
lumpiness in left lower abdomen, both of which decreased on lying down. She presented to emergency with an episode
severe pain at same site which subsided spontaneously. Diagnosis was confirmed on C T scan, plication and onlay
prolene mesh repair performed. Spigelian hernias are rare, interparietal type of hernias which have high risk undergoing
strangulation. Knowledge of symptoms and signs is vital to diagnosis and treatment of these rare type of hernias.
Key words: Spigelian hernia, Interparietal hernia, Rare hernias
Description
Bhatia TP1, Ghimire P1 , Panhani ML1
1 Department of General Surgery, Manipal College of Medical Sciences, Pokhara, Nepal