ISSN 2148-4902
e-ISSN 2536-4553
 

Volume : 5 Issue : 4 Year : 2018

 
Incarcerated Spigelian hernia: A rare cause of abdominal wall tender mass [North Clin Istanb]
North Clin Istanb. Ahead of Print: NCI-09582 | DOI: 10.14744/nci.2018.09582  

Incarcerated Spigelian hernia: A rare cause of abdominal wall tender mass

Ender Anilir1, Fatih Buyuker2, Salih Tosun2, Orhan Alimoglu2
1American Hospital of İstanbul, İstanbul, Turkey
2Department of General Surgery, İstanbul Medeniyet University Faculty of Medicine, İstanbul, Turkey

We aimed to present that incarcerated spigelian hernia is an important cause of acute abdomen though it is a rarity. Spigelian hernia is rare, accounting for 1-2% of all abdominal wall hernias. It is caused by a defect in the aponeurosis of the transversus abdominis muscle, also known as the Spiegel fascia. This case analysis aims at presenting a Spigelian hernia case in which the sigmoid colon is incarcerated. The patient had referred to our emergency surgery clinic complaining of severe abdominal pain and a palpable mass in the left quadrant of the abdomen, presenting tenderness on the front abdominal wall. The symptoms had suddenly emerged approximately 8 hours ago. The patient was taken into surgery after the ultrasonography (US) and computed tomography (CT) results suggested a preliminary diagnosis of incarcerated Spigelian hernia for which polypropylene mesh repair was performed. No recurrence was identified in the patient’s control examination performed 22 months later. Incarcerated Speigel hernia should be considered as a cause for patients developing sudden stomach ache and mass causing tenderness on the front abdominal wall for which mesh repair should be performed.

Keywords: Speigel Hernia, incarceration, sigmoid colon


Incarcerated Spigelian hernia: A rare cause of abdominal wall tender mass

Ender Anilir1, Fatih Buyuker2, Salih Tosun2, Orhan Alimoglu2
1American Hospital of İstanbul, İstanbul, Turkey
2Department of General Surgery, İstanbul Medeniyet University Faculty of Medicine, İstanbul, Turkey

Spigel herni tüm karın duvarı fıtıkları içerisinde %1-2 oranında görülen, spigel fasciası da denilen transversus abdominus kası aponörozundaki defektten kaynaklanan bir fıtık türüdür. Bu vaka analizinde sigmoid kolonun inkarsere olduğu bir spigel herni olgusunu sunmayı amaçladık. Hasta yaklaşık 8 saat önce ani başlayan şiddetli karın ağrısı ve batın sol kadranda, karın ön duvarında hassasiyet veren palpabl kitle yakınmalarıyla acil cerrahi kliniğimize başvurdu. Yapılan ultrasonografi ve batın bilgisayarlı tomografisi (CT) sonucunda inkarsere spigel herni öntanısı ile ameliyata alındı ve poliprolen mesh ile onarım uygulandı. Hastanın 22 ay sonrasında yapılan kontrollerinde rekürrens saptanmadı. Ani başlayan karın ağrısı ve karın ön duvarında hassasiyet veren kitle saptanan bir hastada inkarsere spigel herni de nedenler arasında düşünülmeli, mesh ile onarım uygulanmalıdır.

Anahtar Kelimeler: Spigel herni, inkarserasyon, sigmoid kolon




Corresponding Author: Ender Anilir, Türkiye


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