title: Spigelian hernia associated with strangulation of the small bowel and appendix.
abstract: Spigelian hernia is a rare lateral ventral abdominal hernia. These clinically elusive hernias are treacherous and have a real risk of strangulation. We present a patient with a strangulation of the small bowel and appendix in a right spigelian hernia, which was accurately demonstrated by spiral computerised tomography preoperatively and successfully treated with primary suturing reinforced with polypropylene mesh. With a high index of suspicion and the use of modern radiological technique, these "bewildering" hernias can be diagnosed and repaired relatively safely.
authors.affiliation: School of Medicine Department of Surgery, Dokuz Eylul University, 35340 Izmir, Turkey. aonal@isbank.net.tr
authors.forename: A
authors.initials: A
authors.lastname: Onal
authors.forename: S
authors.initials: S
authors.lastname: Sökmen
authors.forename: K
authors.initials: K
authors.lastname: Atila
mesh_terms: D001065:Appendix / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006555:Hernia, Ventral / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D045822:Intestinal Volvulus / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000601:surgery*; D007813:Laparotomy / Q000379:methods*; D008875:Middle Aged; D011300:Preoperative Care; D018570:Risk Assessment; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome