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Hidden in plain sight: abdominopelvic pain unveiling a Spigelian hernia containing ovary and fallopian tube.
J Surg Case Rep
January 2025
Division of Acute Care Surgery, Department of Surgery, University of Nebraska Medical Center, Omaha, NE 68198, United States.
Spigelian hernias are rare clinical entities; vague symptomatology and unreliable clinical examination ensure difficult diagnosis. Computed tomography (CT) is critical for accurate diagnosis. Surgical repair is mandated given the high risk of visceral organ incarceration.
View Article and Find Full Text PDFCase Report: Bilateral Spigelian Hernia With Meckel's diverticulum.
F1000Res
December 2024
MRCS, Trauma and Orthopaedic Registrar, Nasser institute Hospital, Cairo, Egypt.
Spigelian hernia is an uncommon form of ventral hernia, with an incidence ranging from 0.1% to 2%. This case report describes a 72-year-old female who presented with an obstructed right Spigelian hernia, a left Spigelian hernia, and an uncomplicated Meckel's diverticulum, along with the management approach.
View Article and Find Full Text PDFQuadruple Hernia: A Rare Case Report.
Cureus
October 2024
General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.
Occult hernias, which are not detectable through clinical examination but can be identified during surgery, are typically asymptomatic. Bilateral inguinal hernias occur frequently, and in some cases, unilateral or bilateral inguinal hernias are observed in conjunction with paraumbilical hernias. However, it is rare to repair more than three hernias, including rare types, in a single procedure.
View Article and Find Full Text PDFScrotal edema due to bilateral metachronous tears in the spigelian fascia in a peritoneal dialysis patient: A case report.
Perit Dial Int
August 2024
Department of Nephrology, Kurashiki Central Hospital, Kurashiki, Japan.
Article Synopsis
- Scrotal and penile edema can occur as a complication in patients undergoing peritoneal dialysis (PD), and while Spigelian hernias are noted in relation to this, there's not much evidence linking them directly to the edema experienced during PD.
- A case study details a 20-year-old male with end-stage kidney disease who developed scrotal edema and was found to have tears in the Spigelian fascia after coughing, leading to successful surgical repairs.
- Following the repairs of both sides, the patient did not experience any recurrence of scrotal edema, highlighting the importance of identifying Spigelian fascia tears as potential causes of such complications in PD patients.
Bilateral Spigelian Hernias Robotic Repair: A Novel Approach to a Rare Surgical Entity.
JSLS
April 2024
University of Puerto Rico School of Medicine. (Drs. Aponte-Ortiz, Mayorga Pérez, Alamo Irizarry, and Pelet-Mejías).
Spigelian hernias are an uncommon protrusion defect noted between the rectus abdominis and the transversus abdominis muscles, at the semilunar line, with a low incidence of approximately 0.12% to 2% of all ventral hernias. Furthermore, the incidence of bilateral cases is noted to be even lower in the general population.
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