Spigelian hernia

Česká verze

Authors: L. Petr; J. Honzík; R. Sequens
Authors place of work: Chirurgické oddělení, Rokycanská nemocnice, a. s., Rokycany, Česká republika
Published in the journal: Rozhl. Chir., 2024, roč. 103, č. 3, s. 96-99.
Category: Kazuistika
doi: https://doi.org/10.33699/PIS.2024.103.3.96–99

Summary

Introduction: Spigelian hernia is a rare type of abdominal wall hernias which are often diagnosed when incarcerated. These hernias typically develop at the crossing point of the arcuate line and lateral portion of rectus abdominis muscle.

Case report: We present the case of a 44-year-old female patient admitted to our surgery unit for a painful lump in her right mesogastrium. Incarcerated atypical hernia in the right mesogastrium was suspected based on completed imaging assessments. Spigelian hernia was confirmed by preoperative findings. Interestingly, the patient applied interferon (multiple sclerosis therapy) at the site of the lump, which is why the diagnosis of lipodystrophy had been considered.

Conclusion: In general, the diagnosis of Spigelian hernia is difficult. From the anatomical point of view the clinical finding is not always specific. The risk of incarceration is relatively high, and thus even clinically silent findings are indicated for surgery.

Keywords:

incarceration – case report – ventral hernia – Spigelian hernia

Zdroje

Schumpelik V. Hernia surgery. 1st Edition. CPI Books 2019. ISBN ISBN 978-3-13-240551-6.
Spangen L. Spigelian hernia. World J Surg. 1989 Sep-Oct;13(5):573–580. doi: 10.1007/BF01658873.
Moreno-Egea A, Carrasco L, Girela E, et al. Spigelian hernia: bibliographical study and presentation of a series of 28 patients. Online. Hernia 2002;6(4):167–170. doi:10.1007/s10029-002-0077-x.
Subramanya MS, Chakraborty j, Memon B, et al. Emergency intraperitoneal onlay mesh repair of incarcerated Spigelian hernia. Online JSLS 2010; 14(2):275–278. doi:10.4293/108680810X12785289144683.
Rankin A, Kostusiak M, Sokker A, et al. Spigelian hernia: Case series and review of the literature. Online, Visceral Medicine 2019;35(2):133–136. doi:10. 1159/000494280.
Mittal T, Kumar V, Khullar R, et al. Diagnosis and management of Spigelia n hernia: A review of literature and our experience. Online, Journal of Minimal Access Surgery 2008;4(4). doi:10.4103/0972-9941.45204.
Canpos SM, Walden T. Spigelian hernia. Online, New England Journal of Medicine 1997;336(16):1149–1149. doi:10.1056/ NEJM199704173361605.
Houlihan TJ. A review of spigelian hernias. Online, The American Journal of Surgery 1976;131(6):734–735. doi:10.1016/0002-9610(76)90191-4.
Moreno-Egea A, Carrasco L, Girela E, et al. Open vs laparoscopic repair of Spigelian hernia. Online, Archives of Surgery 2002;137(11). doi:10.1001/arch-surg.137.11.1266. [cit. 2024-01-24].
Hanzalova I, Schafer M, Demartines N, et al. Spigelian hernia: current approaches to surgical treatment – a review. Online, Hernia 2022;26(6):1427–1433. doi: 10.1007/s10029-021-02511-8.
Abraham BT, Sheikhaden H, Lee JW, et al. Robotic ventral transabdominal preperitoneal repair of uncomplicated Spigelian hernia. Cureus 2023 Jan 31;15(1):e34441. doi:10.7759/cureus.34441.