577 results match your criteria spigelian hernia


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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The incidence and analysis of ipsilateral occult hernia in patients undergoing hernia repair: a single institution retrospective study of 1066 patients.

BMC Surg 2021 Apr 7;21(1):182. Epub 2021 Apr 7.

Department of General Surgery, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, 1111 XianXia Road, Shanghai, 200336, China.

Background: Misdiagnosis or failure to intraoperatively detect occult hernia in the inguinal region can lead to the recurrence of postoperative hernia and the appearance of local pain symptoms, which affect the patient's quality of life and make it difficult to reperform hernia repair.

Methods: This study included 1066 inguinal hernia patients who underwent surgical treatment at Shanghai Tongren Hospital between January 2016 and October 2018 to investigate ipsilateral occult hernia epidemiology, to analyze the characteristics of ipsilateral occult hernias with regards to patient age, gender, classification and anatomical site, and to explore the superiority and inferiority of the expert hernia surgeons/ non-expert hernia surgeons group and of operation methods in finding occult inguinal hernias.

Results: The incidence of ipsilateral occult hernia in the surgical population was 8. Read More

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High-resolution ultrasound of spigelian and groin hernias: a closer look at fascial architecture and aponeurotic passageways.

J Ultrason 2021 8;21(84):53-62. Epub 2021 Mar 8.

Department of Health Science (DISSAL), Università di Genova, Genova, Italy.

From the clinical point of view, a proper diagnosis of spigelian, inguinal and femoral hernias may be relevant for orienting the patient's management, as these conditions carry a different risk of complications and require specific approaches and treatments. Imaging may play a significant role in the diagnostic work-up of patients with suspected abdominal hernias, as the identification and categorization of these conditions is often unfeasible on clinical ground. Ultrasound imaging is particularly suited for this purpose, owing to its dynamic capabilities, high accuracy, low cost and wide availability. Read More

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Spigelian Hernia Secondary to Blunt Trauma.

Curr Sports Med Rep 2021 Mar;20(3):137-139

University of Florida-Jacksonville, Jacksonville, FL.

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Unusual radiologic presentations of malignant peritoneal mesothelioma.

World J Radiol 2020 Dec;12(12):316-326

Department of Radiology, MedStar Washington Hospital Center, Washington, DC 20010, United States.

Background: Malignant peritoneal mesothelioma is an unusual disease process characterized radiologically by ascites and infiltration of the peritoneum by multiple small tumor nodules. Both parietal and visceral peritoneum are involved by the multiple malignant tumor nodules. Computed tomography (CT) has been used to identify the anatomic pathology induced by the progression of this malignant process. Read More

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December 2020

MDCT imaging in Spigelian hernia, clinical, and surgical implications.

Clin Imaging 2021 Jun 7;74:131-138. Epub 2021 Jan 7.

Department of Radiology, Section of Musculoskeletal Imaging. University of Michigan Medical School, 1500 E. Medical Center Dr, Ann Arbor, MI 48109, USA. Electronic address:

Objective: Spigelian hernia is an uncommon congenital or acquired defect in the transversus abdominis aponeurosis with non-specific symptoms posing a diagnostic challenge. There is a paucity of radiology literature on imaging findings of Spigelian hernia. The objective of this study is to explore the role of MDCT in evaluating Spigelian hernia along with clinical and surgical implications. 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

Spigelian hernia: Our total extraperitoneal approach and a systematic review of the literature.

Asian J Endosc Surg 2021 Jan 3. Epub 2021 Jan 3.

Department of Surgery, Tung Wah Hospital, Hong Kong.

Introduction: Spigelian hernia is a rare lateral ventral hernia traditionally repaired through open incision with extensive dissection. Three laparoscopic techniques have been reported in the literature: intraperitoneal onlay mesh (IPOM), transabdominal preperitoneal (TAPP), and total extraperitoneal (TEP). TEP is less popular than the other approaches. Read More

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January 2021

"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

Large bowel obstruction due to incarcerated Spigelian hernia: a video vignette of laparoscopic mesh repair.

Colorectal Dis 2021 Mar 13;23(3):756-757. Epub 2020 Dec 13.

Division of General Surgery, Ospedali Riuniti Marche Nord, Pesaro, Italy.

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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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Laparoscopic totally extraperitoneal and transabdominal preperitoneal approaches are equally effective for spigelian hernia repair.

Surg Endosc 2021 Apr 24;35(4):1827-1833. Epub 2020 Apr 24.

NorthShore University HealthSystem, 2650 Ridge Ave., Evanston, IL, 60201, USA.

Introduction: Spigelian hernias (SH) are rare intraparietal abdominal wall hernias occurring just medial to the semilunar line. Several small series have reported on laparoscopic SH repair and both totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) approaches have been described. However, there are limited outcome data including both of these techniques. 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

EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances.

BJS Open 2020 04 9;4(2):342-353. Epub 2020 Jan 9.

Department of Surgery, Lund University, Skåne University Hospital, Malmö, Sweden.

Background: Rare locations of hernias, as well as primary ventral hernias under certain circumstances (cirrhosis, dialysis, rectus diastasis, subsequent pregnancy), might be technically challenging. The aim was to identify situations where the treatment strategy might deviate from routine management.

Methods: The guideline group consisted of surgeons from the European and Americas Hernia Societies. Read More

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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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