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Case Reports
. 2024 Feb 24;62(270):145-147.
doi: 10.31729/jnma.8440.

Spigelian Hernia: A Case report

Prinsa Shrestha  1 , Gaurab K C  1 , Bidur Acharya  1 , Shiv Raj Shah  1 , Sujan Regmee  1
Affiliations
Case Reports

Spigelian Hernia: A Case report

Prinsa Shrestha et al. JNMA J Nepal Med Assoc. .

Abstract

A Spigelian hernia is a hernia through the Spigelian fascia which are difficult to diagnose as they do not present with a subcutaneous swelling and can be dangerous as there is a high risk of incarceration. We report a case of a 51-year-old female who presented to our surgical unit with epigastric pain for 5 days. She was diagnosed with Spigelian hernia with esophagitis and antral gastritis with the help of a computed tomography scan and upper gastrointestinal endoscopy. The diagnosis was confirmed on diagnostic laparoscopy and transabdominal preperitoneal repair of the defect was performed using prolene mesh. Her post-operative period was uneventful. Spigelian hernias are rare and patients can present with atypical symptoms as in this case. Thus, imaging plays a vital role in diagnosis. Management is surgical and has good outcomes.

Keywords: case reports; rectus abdominis; ventral hernia.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1. CT of the patient (arrow showing Spigelian hernia).
Figure 2
Figure 2. Showing laparoscopic ports position.
Figure 3
Figure 3. Laparoscopic image showing the creation of peritoneal flap.
See this image and copyright information in PMC

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