Spigelian hernia as a cause of small bowel obstruction.
Spigelian hernia is a rare abdominal wall defect usually appearing between the abdominal muscle lateral to the rectus abdominis and through a debilitated spigelian aponeurosis. Spigelian hernias account for 0.12% to 2.4% of all abdominal wall hernias with a 17-24% risk of strangulation. We report the case of a 77-year-old male that presented with small bowel obstruction with incarcerated spigelian hernia which was successfully treated with a Ventralex hernia patch (Bard Access Systems, Inc., Murray Hill, NJ). A small open incision over the incarcerated hernia was a safe and effective method of repairing an incarcerated spigelian hernia in an urgent fashion.
Bastidas
Juan G
JG
Department of Surgery, Louisiana State University Health Sciences Center, New Orleans, LA 70808, USA.
Khan
Azeem R
AR
LeBlanc
Karl A
KA
D000368:Aged; D006555:Hernia, Ventral / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small / Q000601:surgery; D008297:Male; D011138:Polytetrafluoroethylene; D013526:Surgical Mesh; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed
D011138:Polytetrafluoroethylene