Tags

Type your tag names separated by a space and hit enter

Intestinal obstruction induced by a giant incarcerated Spigelian hernia: case report and review of the literature.
Sao Paulo Med J. 2005 May 02; 123(3):148-50.SP

Abstract

CONTEXT

Spigelian hernia is an uncommon spontaneous lateral ventral hernia with an incarceration ratio of around 20%. However, complications such as intestinal obstruction are extremely rare. We report on a case of giant incarcerated Spigelian hernia with a clinical condition of complete intestinal obstruction that was treated using prosthetic polypropylene mesh.

CASE REPORT

A 72-year-old woman was admitted to the emergency department complaining of diffuse abdominal pain. Abdominal examination revealed a firm 10 x 10 cm tender mass in the lower left quadrant, without surrounding cellulite or tenderness. Plain abdominal radiographs displayed the formation of levels, thus indicating the existence of intestinal obstruction. An abdominal computed tomography scan clearly showed a fluid and air-filled mass in the soft tissue area of the lower left-side abdominal wall. Spigelian incarcerated hernia was diagnosed and the patient underwent emergency surgical repair by means of local incision. The large defect in the abdominal wall was closed up as successive anatomical layers, and a prosthetic polypropylene mesh was set into the lateral aspect of the rectus sheath. The postoperative course was uneventful and the patient was discharged on the seventh postoperative day.

Authors+Show Affiliations

Hospital Estadual Vila Alpina, São Paulo, Brazil.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16021280

Citation

Ribeiro, Edson Augusto, et al. "Intestinal Obstruction Induced By a Giant Incarcerated Spigelian Hernia: Case Report and Review of the Literature." Sao Paulo Medical Journal = Revista Paulista De Medicina, vol. 123, no. 3, 2005, pp. 148-50.
Ribeiro EA, Cruz RJ, Moreira SM. Intestinal obstruction induced by a giant incarcerated Spigelian hernia: case report and review of the literature. Sao Paulo Med J. 2005;123(3):148-50.
Ribeiro, E. A., Cruz, R. J., & Moreira, S. M. (2005). Intestinal obstruction induced by a giant incarcerated Spigelian hernia: case report and review of the literature. Sao Paulo Medical Journal = Revista Paulista De Medicina, 123(3), 148-50.
Ribeiro EA, Cruz RJ, Moreira SM. Intestinal Obstruction Induced By a Giant Incarcerated Spigelian Hernia: Case Report and Review of the Literature. Sao Paulo Med J. 2005 May 2;123(3):148-50. PubMed PMID: 16021280.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intestinal obstruction induced by a giant incarcerated Spigelian hernia: case report and review of the literature. AU - Ribeiro,Edson Augusto, AU - Cruz,Ruy Jorge,Jr AU - Moreira,Samuel Martins, Y1 - 2005/07/08/ PY - 2005/7/16/pubmed PY - 2005/12/24/medline PY - 2005/7/16/entrez SP - 148 EP - 50 JF - Sao Paulo medical journal = Revista paulista de medicina JO - Sao Paulo Med J VL - 123 IS - 3 N2 - CONTEXT: Spigelian hernia is an uncommon spontaneous lateral ventral hernia with an incarceration ratio of around 20%. However, complications such as intestinal obstruction are extremely rare. We report on a case of giant incarcerated Spigelian hernia with a clinical condition of complete intestinal obstruction that was treated using prosthetic polypropylene mesh. CASE REPORT: A 72-year-old woman was admitted to the emergency department complaining of diffuse abdominal pain. Abdominal examination revealed a firm 10 x 10 cm tender mass in the lower left quadrant, without surrounding cellulite or tenderness. Plain abdominal radiographs displayed the formation of levels, thus indicating the existence of intestinal obstruction. An abdominal computed tomography scan clearly showed a fluid and air-filled mass in the soft tissue area of the lower left-side abdominal wall. Spigelian incarcerated hernia was diagnosed and the patient underwent emergency surgical repair by means of local incision. The large defect in the abdominal wall was closed up as successive anatomical layers, and a prosthetic polypropylene mesh was set into the lateral aspect of the rectus sheath. The postoperative course was uneventful and the patient was discharged on the seventh postoperative day. SN - 1516-3180 UR - https://www.unboundmedicine.com/medline/citation/16021280/Intestinal_obstruction_induced_by_a_giant_incarcerated_Spigelian_hernia:_case_report_and_review_of_the_literature_ L2 - http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802005000300012&lng=en&nrm=iso&tlng=en DB - PRIME DP - Unbound Medicine ER -