title: Richter's hernia through a Spigelian defect of the abdominal wall.
abstract: A 78-year-old healthy woman with no previous surgeries or history of trauma presented with a painful abdominal mass for 1 day. The computed tomography (CT) scan of the abdomen demonstrated a partial herniation and strangulation of the cecum (Richter's hernia) between the internal and external oblique muscles through the linea semilunaris (Spigelian hernia). The challenging clinical diagnosis of Spigelian hernias and their surgical treatment options are discussed.
authors.affiliation: Department of Surgery, University of Illinois at Chicago, 840 S. Wood St., Chicago, IL 60612, USA. pfisiche@uic.edu
authors.forename: P Marco
authors.initials: PM
authors.lastname: Fisichella
authors.forename: Jennifer
authors.initials: J
authors.lastname: Harwell
authors.forename: Joseph
authors.initials: J
authors.lastname: Brosnan
authors.forename: Herand
authors.initials: H
authors.lastname: Abcarian
mesh_terms: D000368:Aged; D005260:Female; D046449:Hernia, Abdominal / Q000145:classification / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D014057:Tomography, X-Ray Computed