title: [Diagnosis of strangulated Spiegel hernia based on CT scan: about a case].
abstract: We report a case of a 86-year old woman with Spiegel hernia complicated by occlusion whose diagnosis was based on CT scan. She was examined in the Emergency Surgery Department for brutal onset of pain in the right iliac fossa associated with vomiting. On physical examination the patient was febrile (38.2° C). It showed hard, sensitive and mobile mass located in the right iliac fossa, with respect to both planes. Abdominal CT scan showed a hernia sac with the neck measuring 13 mm in the right iliac fossa, in front of the aponeurosis of the external oblique muscle. It contained fat and a small bowel loop (curved arrow) with two zones of transition giving a double beak-like appearance at the level of the neck. CT scan showed a lack of enhancement of the wall of the loop after administration of contrast material. The diagnosis of strangulated spiegel hernia associated with sign of arterial ischemia of the digestive wall was retained. Surgery was perfomed with simple postoperative management.
authors.affiliation: Service de Radiologie et d'Imagerie Médicale de l'Hôpital Aristide Le Dantec, Dakar, Sénégal.
authors.forename: Geraud
authors.initials: G
authors.lastname: Akpo
authors.affiliation: Service de Radiologie et d'Imagerie Médicale de l'Hôpital Aristide Le Dantec, Dakar, Sénégal.
authors.forename: Hamidou
authors.initials: H
authors.lastname: Deme
authors.affiliation: Service de Radiologie et d'Imagerie Médicale de l'Hôpital Aristide Le Dantec, Dakar, Sénégal.
authors.forename: Nfally
authors.initials: N
authors.lastname: Badji
authors.affiliation: Service de Radiologie et d'Imagerie Médicale de l'Hôpital Aristide Le Dantec, Dakar, Sénégal.
authors.forename: Fallou
authors.initials: F
authors.lastname: Niang
authors.affiliation: Service de Radiologie et d'Imagerie Médicale de l'Hôpital Aristide Le Dantec, Dakar, Sénégal.
authors.forename: Mohamadou
authors.initials: M
authors.lastname: Toure
authors.affiliation: Service de Radiologie et d'Imagerie Médicale de l'Hôpital Aristide Le Dantec, Dakar, Sénégal.
authors.forename: Ibrahima
authors.initials: I
authors.lastname: Niang
authors.affiliation: Service de Radiologie et d'Imagerie Médicale de l'Hôpital Aristide Le Dantec, Dakar, Sénégal.
authors.forename: Malick
authors.initials: M
authors.lastname: Diouf
authors.affiliation: Service de Radiologie et d'Imagerie Médicale de l'Hôpital Aristide Le Dantec, Dakar, Sénégal.
authors.forename: El Hadj
authors.initials: EH
authors.lastname: Niang
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000369:Aged, 80 and over; D003287:Contrast Media / Q000008:administration & dosage; D005260:Female; D006555:Hernia, Ventral / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014839:Vomiting / Q000209:etiology
chemical_list: D003287:Contrast Media
keywords: CT scan; Spiegel hernia; strangulation