  |
|
 |
|
Case Report
| ||||||
| Large spigelian hernia: A case report | ||||||
| Linus Eze1, Kenneth Agu2, Stephen Edino3 | ||||||
|
1(FWACS), Consultant General Surgeon. Department of Surgery, Kogi State Specialist HospitalLokoja, Kogi State, Nigeria.
2(FWACS), Senior Lecturer/Consultant, General Surgeon, Department of Surgery, University of Nigeria, Teaching Hospital Ituku/Ozalla Enugu State, Nigeria. 3(FWACS), Professor of Surgery/Consultant, General Surgeon, Department of Surgery, College of Health Sciences, University of Abuja, Nigeria. | ||||||
| ||||||
|
[HTML Full Text]
[PDF Full Text]
[Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar] 
|
| How to cite this article |
| Eze L, Agu K, Edino S. Large spigelian hernia: A case report. Int J Case Rep Images 2015;6(5):321–324. |
|
Abstract
|
|
Introduction:
Spigelian hernia is a rare variety of ventral abdominal hernia accounting for less than 2% of all abdominal hernias. Preoperative diagnosis is usually difficult and patients may present with intestinal obstruction. Treatment involves patient optimization and repair of the hernia. The latter is achieved either by open or laparoscopic technique with or without mesh. Outcome is usually excellent.
Case Report: We report an unusually large spigelian hernia (20x30 cm) with an obvious ventral swelling in a 79-year-old female with malnutrition and uncontrolled diabetes mellitus. There was no associated intestinal obstruction. At operation, contents of the sac included viable small bowel, omentum, part of transverse colon, lower stomach, cecum and vermiform appendix. She was stabilized, had an open repair without mesh and was followed-up for eight months without signs of recurrence or other complications. Conclusion: Spigelian hernia is rare and preoperative diagnosis difficult in the majority of cases. Occasionally, like in this case, an obvious ventral swelling was present making diagnosis easier. Repair of the hernia was done by open technique without use of mesh due to the narrow defect on the abdominal wall. | |
|
Keywords:
Abdomen, Hernia, Large, Spigelian
| |
|
[HTML Full Text]
[PDF Full Text]
|
|
Author Contributions
Linus Eze – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Kenneth Agu – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Stephen Edino – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
|
Guarantor of submission
The corresponding author is the guarantor of submission. |
|
Source of support
None |
|
Conflict of interest
Authors declare no conflict of interest. |
|
Copyright
© 2015 Linus Eze et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
|
|