title: Spigelian hernia in a child: case report and review of the literature.
abstract: Spigelian hernias (SHs) are rarely observed among children. The diagnosis is not difficult to make once it has been considered. The condition requires a high index of suspicion because of its high potential for life-threatening complications. A 12-year-old boy underwent open appendectomy for presumed acute appendicitis. A normal appendix found at laparotomy suggested another etiology for the acute abdomen. Incarceration of the greater omentum in a spigelian hernia was found, and the hernia repaired. The repair of pediatric SH is straightforward and utilizes endogenous tissues. Patients should be followed up for as long as possible to develop data on the durability of the repair technique selected.
authors.affiliation: Department of Surgery, M580 Health Sciences Center, University of Missouri-Columbia School of Medicine, One Hospital Drive, Columbia, Mo 65212, USA.
authors.forename: J E
authors.initials: JE
authors.lastname: Losanoff
authors.forename: B W
authors.initials: BW
authors.lastname: Richman
authors.forename: J W
authors.initials: JW
authors.lastname: Jones
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology; D001062:Appendectomy / Q000706:statistics & numerical data; D001064:Appendicitis / Q000175:diagnosis; D002648:Child; D006555:Hernia, Ventral / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D019564:Unnecessary Procedures