Spigelian Hernia: A Rare Case Report

Wael Zaki and Awad Ali M Alawad

Department of Surgery, Prince Sultan Armed Forces Hospital, Saudi Arabia

^*Correspondance to: Awad Ali M Alawad 

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Abstract:

Spigelian hernias are rare abdominal wall defects that occur at the semilunar line lateral to the rectus abdominis muscle. They are located between the muscular layers of the abdominal wall and can be easily overlooked because of abdominal obesity. Generally, they are difficult to diagnose because of their location and vague symptoms. The diagnosis has been considerably aided by the introduction of ultrasonography and Computed Tomography. Once the diagnosis is made operative management is indicated due to risk of incarceration. We report a 32 years old female patient from who presented with right upper abdominal pain associated with a swelling below the right subcostal margin. A diagnosis of Spigelian hernia and gallbladder stones was made. The patient underwent laparoscopic mesh repair and cholecystectomy. Her recovery was uneventful.

Keywords:

Spigelian hernia; Lateral ventral hernias; Laparoscopic mesh repair

Cite the Article:

Zaki W, Alawad AAM. Spigelian Hernia: A Rare Case Report. Ann Clin Case Rep. 2017; 2: 1288.