Spigelian Hernia—Diagnostic Dilemma: Case Report with Review (Short Report)

DOI: 10.4236/oalib.1100661   PDF        1,729 Downloads   2,325 Views   Citations

Abstract

Spigelian hernia (SH) is an uncommon surgical entity in children and rare in adults. Due to various reasons, spigelian hernia can develop through defects in transversus abdominis aponeurosis. Usually spigelian hernia develops below the arcuate line of Douglus and rarely occurs at higher level. It poses a diagnostic dilemma for surgeon as there are no specific symptoms and signs. It comprises about 0.12% of all abdominal wall hernias. The spigelian hernia has been repaired by both conventional and laparoscopic approach. We present a case of spigelian hernia in left half of lower abdomen in a 15-year-old child.

Share and Cite:

Goyal, S. and Singla, S. (2014) Spigelian Hernia—Diagnostic Dilemma: Case Report with Review. Open Access Library Journal, 1, 1-5. doi: 10.4236/oalib.1100661.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Spinelli, C., Palombo, C., Strambi, S., Pucci, V., Liserre, J. and Spinelli, G. (2013) Spigelian Hernia in a 14-Year-Old Girl: A Case Report and Review of the Literature. European Journal of Pediatric Surgery Reports, 2, 058-062.
http://dx.doi.org/10.1055/s-0034-1370771
[2] Reinke, C. and Resnick, A. (2010) Incarcerated Appendix in a Spigelian Hernia. Journal of Surgical Case Reports, 2010, 3.
[3] Sarkar, P.G. (2013) Spigelian Hernia—A Rare Hernia, a Case in a Rare Site. International Journal of Pharma and Bio Sciences, 4, (B) 894-898.
[4] Sandalaski, P.N., et al. (2006) Spigelian Hernia: Surgical Anatomy, Embryology and Technique of Repair. Annals of Surgery, 72, 42-48.
[5] Rashid, F., et al. (2009) Atypical Right Diaphragmatic Hernia (Hernia Ofmorgagni), Spigelian Hernia and Epigastric Hernia in Apatientwith Williams Syndrome: Case Report. Journal of Medical Case Reports, 3, 7.
http://dx.doi.org/10.1186/1752-1947-3-7
[6] Rushfeldt, C., et al. (2010) Spigelian Cryptorhidism Syndrome a Case Report and Discussion on the Basic Elements in a Possibly New Congenital Syndrome. Pediatric Surgery International, 26, 939-942.
http://dx.doi.org/10.1007/s00383-010-2681-7
[7] Dabbas, N., et al. (2011) Frequency of Abdominal Wall Hernias: Is Classical Teaching out of Date? Journal of the Royal Society of Medicine, Short Paper, 2, 5.
[8] Rahman, J.M., et al. (2000) A Case of Spigelian Hernia at an Unusually High Anatomical Location. Journal of the Royal College of Surgeons of Edinburgh, 45, 196-197.
[9] Rogers, F.B. and Camp, P.C. (2001) A Strangulated Spigelian Hernia Mimicking Diverticulitis. Hernia, 5, 51-52.
http://dx.doi.org/10.1007/BF01576167
[10] Campos, S.M. and Walden, T. (1997) Images in Clinical Medicine: Spigelian Hernia. The New England Journal of Medicine, 336, 1149.
http://dx.doi.org/10.1056/NEJM199704173361605
[11] Carter, J.E. and Mizes, C. (1992) Laparoscopic Diagnosis and Repair of Spigelian Hernia: Report of Case and Technique. American Journal of Obstetrics & Gynecology, 167, 77-78.
http://dx.doi.org/10.1016/S0002-9378(11)91630-5
[12] Chowbey, P.K., Sharma, A., Khullar, R., Baijal, M. and Vashistha, A. (2000) Laparoscopic Ventral Hernia Repair. Journal of Laparoendoscopic & Advanced Surgical Techniques, 10, 79-84.
http://dx.doi.org/10.1089/lap.2000.10.79
[13] Gedeban, T.M. and Neubauer, W. (1998) Laparoscopic Repair of Bilateral Spigelian and Inguinal Hernias. Surgical Endoscopy, 12, 1424-1425.
http://dx.doi.org/10.1007/s004649900873
[14] Kasiranjan, K., Lopez, J. and Lopez, R. (1997) Laparoscopic Technique in the Management of Spigelian Hernia. Journal of Laparoendoscopic & Advanced Surgical Techniques, 7, 385-388.
http://dx.doi.org/10.1089/lap.1997.7.385
[15] Moreno-Egea, A., Carrrasco, L., Girela, E., Martin, J.G., Aguayo, J.L. and Canteras, M. (2002) Open vs Laparoscopic Repair of Spigelian Hernia: A Prospective Randomized Trial. Archives of Surgery, 137, 1266-1268.
http://dx.doi.org/10.1001/archsurg.137.11.1266
[16] Tarnoff, M., Rosen, M. and Brody, F. (2002) Planned Totally Extraperitoneal Laparoscopic Spigelian Hernia Repair. Surgical Endoscopy and Other Interventional Techniques, 16, 359.
http://dx.doi.org/10.1007/s00464-001-4126-9
[17] Mittal, T., Kumar, V., Khullar, R., Sharma, A., Soni, V., Baijal, M. and Chowbey, P.K. (2008) Diagnosis and Management of Spigelian Hernia: A Review Literature and Our Experience. Journal of Minimal Access Surgery, 4, 95-98.
http://dx.doi.org/10.4103/0972-9941.45204

  
comments powered by Disqus

Copyright © 2020 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.