Giant Spiegelian hernia and abdominal trauma: cause or coincidence?
BACKGROUND
Spiegelian hernia is an uncommon entity and occurs as a result of a defect in the linea semilunaris located in the lateroventral abdominal wall.


METHODS
We report the case of a 44-year-old female with a history of progressive abdominal swelling. Clinical history included a previous blunt trauma to the abdomen. A Spiegelian hernia with a large aponeurotic defect (7 × 12 cm) and sac (15 × 15 cm) was diagnosed. A literature review of similar topics was performed.


CONCLUSIONS
Weakness presented in the linea semilunaris in Spiegelian hernia may be caused either spontaneously or as a consequence of factors that increase intra-abdominal pressure. Otherwise, it is important to unify the terms related to the size of this entity in order to establish a correct classification.
Cirugía General, Hospital Metropolitano Dr. Bernardo Sepúlveda, Secretaría de Salud de Nuevo León, San Pedro Garza García, Nuevo León, Mexico.
Gerardo
G
Gil-Galindo
Rey Jesús
RJ
Romero-González
Mario Alberto
MA
Flores-Salinas
Raymundo
R
Romero-González
José
J
Pulido-Rodríguez
D000007:Abdominal Injuries / Q000150:complications*; D000328:Adult; D005260:Female; D006555:Hernia, Ventral / Q000209:etiology*; D006801:Humans; D014949:Wounds, Nonpenetrating / Q000150:complications*