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2020•Journal of medical case reports and reviewsOpen access

SPIGELIAN HERNIA IN THE LEFT ABDOMINAL WALL

Amine Hermi, Imen Ben Ismail, Sabeur Rebii, Hakim Zenaidi, Ayoub Zoghlami

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Abstract

Spigelian hernia is a rare variety of abdominal wall defects appearing between the large abdominal muscles lateral to the rectus abdominis through Spigelian aponeurosis. Its diagnosis is challenging. The risk of incarceration is high, which urge surgical treatment. However, the risk of recurrence is low. We report the case of a female patient with a palpable abdominal mass in the left abdominal wall, Spigelian hernia was diagnosed by computed tomography (CT). Open surgery was performed. The defect was closed by a polypropylene mesh. The patient had a favorable outcome for 1 year without recurrence.

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What this paper is about

Spigelian hernia is a rare variety of abdominal wall defects appearing between the large abdominal muscles lateral to the rectus abdominis through Spigelian aponeurosis. Its diagnosis is challenging. The risk of incarceration is high, which urge surgical treatment. However, the risk of recurrence is low. We report the case of a female patient with a palpable abdominal mass in the left abdominal wall, Spigelian hernia was diagnosed by computed tomography (CT). Open surgery was performed. The defect was closed by a polypropylene mesh. The patient had a favorable outcome for 1 year without recurrence.

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Available abstract

Spigelian hernia is a rare variety of abdominal wall defects appearing between the large abdominal muscles lateral to the rectus abdominis through Spigelian aponeurosis. Its diagnosis is challenging. The risk of incarceration is high, which urge surgical treatment. However, the risk of recurrence is low. We report the case of a female patient with a palpable abdominal mass in the left abdominal wall, Spigelian hernia was diagnosed by computed tomography (CT). Open surgery was performed. The defect was closed by a polypropylene mesh. The patient had a favorable outcome for 1 year without recurrence.

Key concepts: Spigelian hernia, Aponeurosis, Medicine, Abdominal wall, Abdominal wall defect, Hernia, Radiology, Surgery

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