Incarcerated Spigelian hernia: a case report.
BACKGROUND
Spigelian hernia is a rare partial abdominal wall defect in the transversus abdominus aponeurosis or Spigelian fascia. We here report the case of a patient with incarcerated greater omentum in a Spigelian hernia.


METHODS
The patient presented with a six-hour history of nausea, constant abdominal pain, and a palpable mass in the left lower quadrant. Abdominal computed tomography revealed that omentum was strangulated in a Spigelian hernia that was successfully treated by plug and mesh repair. No recurrence has been observed during three-year follow-up.


CONCLUSIONS
In our case, plug and mesh repair was a safe and effective method of repairing an incarcerated Spigelian hernia with durability through three years of follow-up.
Zacharakis
Evangelos
E
Surgical Department, General District Hospital of Veroia, Papagou, Veroia, Greece.
Papadopoulos
Vassilios
V
Ganidou
Maria
M
Zacharakis
Emmanouil
E
D005260:Female; D046449:Hernia, Abdominal / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome