title: Right lower quadrant abdominal pain due to appendicitis and an incarcerated spigelian hernia.
abstract: Spigelian hernias are uncommon and difficult to diagnose because of their location in the aponeurosis in the anterior abdominal wall. When they occur on the right side, the symptoms can include nonspecific abdominal pain mimicking appendicitis. We present an adult with right lower quadrant abdominal pain due to an incarcerated spigelian hernia and acute appendicitis. Early recognition and prompt surgical treatment were important to the successful treatment of our patient.
authors.affiliation: Department of Surgery at Mount Sinai Hospital Medical Center, Finch University of Health Sciences/The Chicago Medical School, Illinois, USA.
authors.forename: P H
authors.initials: PH
authors.lastname: Lin
authors.forename: A J
authors.initials: AJ
authors.lastname: Koffron
authors.forename: T J
authors.initials: TJ
authors.lastname: Heilizer
authors.forename: H J
authors.initials: HJ
authors.lastname: Lujan
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D001062:Appendectomy; D001064:Appendicitis / Q000150:complications*; D005260:Female; D006555:Hernia, Ventral / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D014057:Tomography, X-Ray Computed