Ultrasound-guided reduction of an incarcerated Spigelian hernia.
Spigelian hernia is a rare abdominal hernia. We report a case in which its diagnosis proved ultrasonography to be an effective tool, not only to diagnose an incarcerated Spigelian hernia but, moreover, to reduce it by echo-probe palpation. Ultrasound (US) is an aid for therapy of various diseases. In our experience, US-guidance prevented possible damage related to forced and wrongly applied compression during the hernia reduction, and allowed us to perform surgical repair on an elective basis. In conclusion, if an incarcerated Spigelian hernia is suspected, a US examination should be done on an emergency basis to confirm the diagnosis and to attempt US-guided reduction.
Torzilli
G
G
Reparto di Chirurgia Generale 1, Ospedale Maggiore di Lodi, Azienda Sanitaria Locale della Provincia di Lodi, Lodi, Italy. torzillg@tin.it
Del Fabbro
D
D
Felisi
R
R
Leoni
P
P
Gnocchi
P
P
Lumachi
V
V
Goglia
P
P
Olivari
N
N
D005260:Female; D006555:Hernia, Ventral / Q000000981:diagnostic imaging* / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D010173:Palpation; D014463:Ultrasonography