388 results match your criteria case spigelian


A rare discovery of Spigelian-cryptorchidism syndrome in adult.

Urol Case Rep 2021 Sep 20;38:101687. Epub 2021 Apr 20.

Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.

Spigelian hernia (SH) occurs due to the protrusion through a congenital or acquired defect or weakness in the Spigelian aponeurosis. SH accounts for only 0.1-0. Read More

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September 2021

The advantage of laparoscopic surgery in the treatment of Spigelian hernia: A report of two cases.

Int J Surg Case Rep 2021 May 27;82:105903. Epub 2021 Apr 27.

Department of Surgery, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama 330-8503, Japan. Electronic address:

Introduction And Importance: The usefulness of laparoscopic surgery in the treatment of Spigelian hernias and the appropriate insufflation pressure remains unclear.

Case Presentation: Case 1 involved an 81-year-old woman presented with a right abdominal protrusion. CT scan demonstrated a defect in the abdominal wall at the lateral edge of the right rectus abdominis muscle. Read More

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Complicated abdominal wall hernia mimicking an abdominal wall abscess: A case report.

Radiol Case Rep 2021 Jun 11;16(6):1451-1453. Epub 2021 Apr 11.

Department of Radiology, Oncology National Institute, Rabat, Morocco.

Abdominal wall hernias are a common imaging finding. Their most common complications include bowel obstruction, incarceration, strangulation and trauma. We report an exceptional case of spigelian hernia in 55 years old women complicated by perforation and massive subcutaneous emphysema which was correctly diagnosed by CT scan. Read More

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[Current robotic ventral hernia surgery exemplified by 50 consecutive patients].

Chirurg 2021 Apr 19. Epub 2021 Apr 19.

Abteilung für Allgemein‑, Viszeral‑, Thorax- und Kinderchirurgie, Klinikum Kempten, Klinikverbund Allgäu, Robert-Weixler-Str. 50, 87439, Kempten, Deutschland.

Background: In recent years there has been a rise in robotic techniques and approaches regarding hernia repair with extraperitoneal mesh placement.

Methods: A retrospective analysis of the first 50 patients who underwent robotic ventral hernia repair between May 2019 and November 2020 at the department of general surgery of the Kempten Clinic was performed.

Results: This case series consisted of 36 incisional hernias, 12 primary hernias (8 umbilical and 3 epigastric hernias in combination with a diastasis recti abdominis as well as 1 Spigelian hernia) and 2 parastomal hernias. Read More

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A case of Spigelian hernia after laparoscopic incisional hernia repair.

Asian J Endosc Surg 2021 Apr 13. Epub 2021 Apr 13.

Department of Surgery, Hyogo Prefectural Kakogawa Medical Center, Kakogawa, Japan.

Laparoscopic ventral hernia repair with intraperitoneal onlay mesh reinforcement is often performed in clinical practice. We herein describe a patient who developed a Spigelian hernia at the edge of the mesh due to rupture of the muscular layer in the abdominal wall. A 69-year-old woman developed a left-sided abdominal bulge 15 months after laparoscopic ventral hernia repair. Read More

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Outcome of Orchidopexy in Spigelian Hernia-Undescended Testis Syndrome.

Cureus 2021 Mar 5;13(3):e13714. Epub 2021 Mar 5.

Medicine, Al-Hada Governmental Hospitals, Taif, SAU.

Spigelian hernia-undescended testes (SH-UDT) syndrome is a rare disorder, with only 57 cases reported in the literature. The presentation can be asymptomatic or symptomatic in the form of pain, tenderness, or a lump. We present a case of a 50-day-old boy with SH-UDT syndrome. Read More

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Gangrenous appendicitis contained within a Spigelian hernia.

Proc (Bayl Univ Med Cent) 2020 Oct 5;34(1):104-106. Epub 2020 Oct 5.

Department of Surgery, Texas Tech University Health Sciences Campus, University Medical Center Hospital, Lubbock, Texas.

A 66-year-old man with abdominal pain had a 5-year-old mass subsequently identified as a Spigelian hernia. Exploratory laparotomy revealed a strangulated and gangrenous appendix contained within the hernia, necessitating an appendectomy. This case highlights the importance of early identification and exploration of this rare hernia, so that early management can prevent the development of more serious and dangerous symptoms. Read More

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October 2020

"Bulb-like" sign: Small bowel closed loop obstruction in incarcerated Spigelian hernia.

Radiol Case Rep 2021 Mar 19;16(3):520-523. Epub 2020 Dec 19.

Department of Radiology, Ospedale del Mare, ASL NA1 Centro, Via Enrico Russo, 80147, Naples, Italy.

A Spigelian hernia is a rare hernia, making up approximately 0.1% of all abdominal wall hernias. This hernia goes through a defect in the Spigelian fascia which is the part of the transversus abdominis aponeurosis lateral to the rectus muscle, often at the level of the arcuate line, where the fascia is widest and weakest. Read More

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Testicular Ectopia in a Child's Anterior Abdominal Wall: A Case Report and Literature Review.

Am J Case Rep 2020 Dec 7;21:e927495. Epub 2020 Dec 7.

Department of Pediatric Surgery, King Abdullah Specialized Children's Hospital, Riyadh, Saudi Arabia.

BACKGROUND Ectopic testis is an uncommon congenital anomaly that has been reported in different sites in the body. The anterior abdominal wall is an exceptionally rare variant site for ectopic testis. The purpose of this case report is to highlight the importance of being aware of this rare clinical entity, thereby increasing the chance of preserving an ectopic testis. Read More

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December 2020

Spigelian-cryptorchidism syndrome in an adult male complaining of primary infertility: Case report.

Andrologia 2021 Feb 25;53(1):e13838. Epub 2020 Oct 25.

Department of Andrology, Cairo University Hospitals, Cairo, Egypt.

History of cryptorchidism is present in about 10% of infertile patients seeking medical help, whereas 20% of them are azoospermic. Most of the patients with bilateral cryptorchidism have a low testicular volume and high serum FSH level. Ectopic testes are present only in 5% of the patients with cryptorchidism. Read More

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February 2021

Giant intraparietal inguinal hernia misdiagnosed as spigelian hernia in an old woman.

Pan Afr Med J 2020 23;36:117. Epub 2020 Jun 23.

Department of Surgery, School of Medicine, University of Health and Allied Sciences, Ho, Volta Region, Ghana.

Intraparietal inguinal hernias are a rare variant of inguinal hernia in which the hernia sac lies between the layers of the abdominal muscles. Intraparietal inguinal hernias mimic Spigelian hernias clinically; the diagnosis presents superior difficulties than its treatment. We report a case of a giant intraparietal hernia misdiagnosed as a Spigelian hernia clinically. Read More

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December 2020

First case report of spigelian hernia containing the appendix after liver transplantation: Another cause for chronic abdominal pain.

Int J Surg Case Rep 2020 16;72:533-536. Epub 2020 Jun 16.

Digestive Organs Transplant Unit, Department of Gastroenterology, Liver Transplantation Division, University of São Paulo School of Medicine, São Paulo, Brazil.

Introduction: Abdominal ventral hernias are common in chronic liver disease due to increased abdominal pressure and sarcopenia. Following liver transplantation, diagnosis of chronic abdominal pain is challenging because it may relate to immunosuppression, scaring or opportunistic infections.

Presentation Of Case: A 62 years-old male presented with chronic abdominal pain one year following liver transplantation due to hepatocellular carcinoma. Read More

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A case report of rare ZC4H2-associated disorders associated with three large hernias.

Pediatr Int 2020 Aug 20;62(8):985-986. Epub 2020 Jul 20.

Department of Pediatrics, Japanese Red Cross Nagoya Daini Hospital, Nagoya, Aichi, Japan.

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Strangulated spigelian hernia with necrosis of the caecum, appendix and terminal ileum: an unusual presentation in the elderly.

J Surg Case Rep 2020 Jun 25;2020(6):rjaa115. Epub 2020 Jun 25.

Department of Surgery, Gaston Berger University, Saint-Louis, Senegal.

Spigelian hernia is a rare form of abdominal wall hernias. We report an unusual case of a strangulated spigelian hernia with necrotic contents of the caecum, appendix and terminal ileum in the elderly. An 84-year-old woman, with a history of eight pregnancies, was admitted for bowel obstruction evolving for 7 days. Read More

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An incarcerated Spigelian hernia with the appendix in the sac passing though all layers of the abdominal wall: an unusual cause for chronic right iliac fossa pain.

J Surg Case Rep 2020 Jun 16;2020(6):rjaa099. Epub 2020 Jun 16.

Department of General Surgery, Caboolture Hospital, QLD 4510, Australia.

Abdominal wall hernias are a common pathology and source of morbidity including chronic pain. They occur in various anatomical areas; amongst the rarest locations is the Spigelian hernia accounting for <2% of all abdominal hernias. We present a case report of a patient with chronic right iliac fossa pain caused by an incarcerated Spigelian hernia containing her appendix within the hernial defect. Read More

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Primary mesh repair of traumatic Spigelian hernia resulting from a fall: A case report.

Asian J Surg 2020 Sep 10;43(9):924-925. Epub 2020 Jun 10.

Department of Surgery, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, South Korea. Electronic address:

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September 2020

Ipsilateral Spigelian hernia: just an infrequent variant?

Ann R Coll Surg Engl 2020 Oct 11;102(8):e190-e191. Epub 2020 May 11.

Department of General Surgery, Royal Gwent Hospital, Aneurin Bevan University Health Board, Newport, South Wales, UK.

Spigelian hernias are generally considered to occur through solitary defects in the fascial layers of the anterior abdominal wall in the 'Spigelian hernia belt' but can be found anywhere along the line of the linea semilunaris. They are uncommon in children and in adults thought to be acquired and associated with obesity. We describe an unusual case of Spigelian herniation previously unreported and possibly previously unrecognised. Read More

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October 2020

Incarcerated Spigelian Hernias: A Rare Cause of a High-grade Small Bowel Obstruction.

Cureus 2020 Mar 24;12(3):e7397. Epub 2020 Mar 24.

General Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, USA.

A Spigelian hernia is a very rare hernia, making up approximately 0.1% of all abdominal wall hernias. This hernia goes through a defect in the Spigelian fascia which is the part of the transversus abdominis aponeurosis lateral to the rectus muscle, often at the level of the arcuate line, where the fascia is widest and weakest. Read More

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Incarcerated Spigelian hernia: A rare cause of abdominal wall tender mass.

North Clin Istanb 2020 20;7(1):74-77. Epub 2019 Nov 20.

Department of General Surgery, Istanbul Medeniyet University, Istanbul, Turkey.

In this study, we aimed to present that incarcerated Spigelian hernia is an important cause of acute abdomen although it is rare and accounts for 1-2% of all abdominal wall hernias. Spigelian hernia arises from a defect in the aponeurosis of the transversus abdominis muscle, also known as the Spiegel fascia. This case analysis aims to present a Spigelian hernia case in which the sigmoid colon is incarcerated. Read More

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November 2019

Incidental non-complicated posterior rectus sheath hernia.

BJR Case Rep 2020 Mar 12;6(1):20190072. Epub 2020 Feb 12.

East Surrey Hospital, Redhill, Surrey, United Kingdom.

Posterior rectus sheath hernia is a truly rare finding, with only 11 documented cases since the first report in 1937. A posterior rectus sheath hernia is herniation of bowel and/or omentum through the posterior portion of the rectus sheath, but not through any other structure. This can only occur medial to the spigelian fascia, differentiating it from a spigelian hernia. Read More

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Malignant peritoneal mesothelioma presenting as a mass in a Spigelian hernia. Report of a case.

Int J Surg Case Rep 2020 7;68:239-241. Epub 2020 Mar 7.

Program in Peritoneal Surface Malignancies, MedStar Washington Hospital Center, 106 Irving St., NW, Suite 3900, Washington, DC, USA. Electronic address:

Background: Gastrointestinal cancer, gynecologic cancer and malignant peritoneal mesothelioma may disseminate widely to the surfaces of the abdomen and pelvis. In some patients this spread of the disease may find its way into a hernia sac.

Methods: The Spigelian hernia is caused by a protrusion of the peritoneum of the anterior abdominal wall into the abdominal wall muscle. Read More

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Rare case of an ovarian spigelian hernia in pregnancy.

ANZ J Surg 2020 07 3;90(7-8):1513-1514. Epub 2020 Feb 3.

Department of Surgery, Monash Health, Melbourne, Victoria, Australia.

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Management of Traumatic Spigelian Hernia: A Case Report and Literature Review.

Cureus 2019 Nov 21;11(11):e6213. Epub 2019 Nov 21.

Emergency Medicine, Arrowhead Regional Medical Center, Colton, USA.

Traumatic abdominal wall hernias comprise less than 1% of all abdominal wall hernias. We present a 22-year-old male sustaining a traumatic Spigelian hernia resulting from striking a guardrail while snowboarding. In addition, the patient was found to have injuries to the serosa of the small bowel and mesentery, which were repaired during emergent surgery. Read More

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November 2019

Left-sided Spigelian hernia with nontypical hernial sac content.

Pol Przegl Chir 2019 May;91(6):47-49

Katedra i Klinika Chirurgii Ogólnej, Gastroenterologicznej i Onkologicznej, Warszawski Uniwesytet Medyczny.

Spigelian hernia is one of the most uncommon hernia of the abdominal wall. Authors present 53 years old women with left sided spigelian hernia containing: caecum with appendix and ileum, which was an uncommon content of hernial sac. Past medical history of urinary bladder operation suggested postoperative hernia. Read More

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Large Strangulated Spigelian Hernia: Management of an Uncommon Presentation of Abdominal Hernias in Central Uganda.

Case Rep Surg 2019 13;2019:8474730. Epub 2019 Oct 13.

Department of Surgery, Kitovu Hospital, Uganda.

Background: Spigelian hernia is an uncommon presentation of abdominal hernias with 0.1-2%. We report a case of a large strangulated Spigelian hernia, an uncommon presentation of abdominal hernias, and its management in a health facility in Central Uganda. Read More

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October 2019

An Unusual Case of Left Spigelian Hernia Containing Part of a Fibroid Uterus and the Left Adnexa in a 66-Year-Old Woman.

Am J Case Rep 2019 Nov 8;20:1643-1647. Epub 2019 Nov 8.

Depertment of Surgery, Lebanese American University Medical Center, Beirut, Lebanon.

BACKGROUND Spigelian hernia, or lateral ventral hernia, is rare and represents between 0.1-2% of all hernias of the abdominal wall. The presentation is variable, and the diagnosis may be challenging. Read More

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November 2019

Giant Spigelian Hernia presenting as small bowel obstruction: Case report and review of literature.

Int J Surg Case Rep 2019 24;63:118-121. Epub 2019 Sep 24.

Department of General Surgery, Hospital San Salvatore L'Aquila, University of L'Aquila, Italy.

Introduction: Spigelian Hernia is an uncommon pathology of abdominal wall (0.12-2.4%), usually small sized and with vague symptoms. Read More

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September 2019

Spigelian Hernia Including the Urinary Bladder: A Rare Potential Cause of Surgical Complication.

J Radiol Case Rep 2019 Mar 31;13(3):8-12. Epub 2019 Mar 31.

Department of Radiology, Marmara University School of Medicine, Istanbul, Turkey.

Spigelian hernia is a rare type of anterior abdominal wall hernia. While it is itself very rare, seeing urinary bladder in this hernia is even rarer. Here, in this case, we specifically illustrate a rare case of Spigelian hernia including the urinary bladder, diagnosed with computerized tomography. Read More

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'Spigelian-type' hernia: a rare laparoscopic trocar site hernia following total laparoscopic hysterectomy.

J Obstet Gynaecol 2020 Jul 29;40(5):733-734. Epub 2019 Jul 29.

Birmingham Cancer Research UK Cancer Centre, Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.

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Spigelian Hernia: Case Series and Review of the Literature.

Visc Med 2019 Apr 30;35(2):133-136. Epub 2018 Oct 30.

Department of General Surgery, The Queen Elizabeth Hospital King's Lynn NHS Trust, King's Lynn, Norfolk, UK.

Background: Spigelian hernia (SH) is an uncommon ventral abdominal hernia. Traditionally repaired with an open technique, the laparoscopic approach is becoming more common and widely described in the literature. We hold that the transabdominal preperitoneal (TAPP) approach restores the anatomy and prevents complications such as seroma. Read More

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