title: Appendicitis in a Spigelian hernia: an unusual cause for a tender right iliac fossa mass.
abstract: Spigelian hernias are a rare type of hernia through the Spigelian aponeurosis, whose contents commonly include omentum or small bowel. In the absence of incarceration or strangulation, they can be difficult to diagnose clinically. In the emergency setting, they can present rarely as a painful abdominal mass and computed tomography provides a reliable diagnostic imaging modality. We report an emergency presentation of a Spigelian hernia containing the appendix.
authors.affiliation: North Cumbria University Hospitals NHS Trust, UK. m.thomas2@nhs.net
authors.forename: M P
authors.initials: MP
authors.lastname: Thomas
authors.forename: S K
authors.initials: SK
authors.lastname: Avula
authors.forename: R
authors.initials: R
authors.lastname: England
authors.forename: L
authors.initials: L
authors.lastname: Stevenson
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D001064:Appendicitis / Q000000981:diagnostic imaging* / Q000601:surgery; D003248:Constipation / Q000209:etiology; D004487:Edema; D006555:Hernia, Ventral / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography