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[Incarcerated Spigelian hernia: a rare cause of ileus].
Ned Tijdschr Geneeskd. 2012; 156(48):A5079.NT

Abstract

BACKGROUND

First described in 1764, the hernia of the semilunar line is called a Spigelian hernia. Spigelian hernias are rare: comprising only 1-2% of all abdominal hernias.

CASE DESCRIPTION

A 73-year-old man presented at the emergency department complaining of not having defaecated and swelling of the right lower abdomen. This proved to be ileus caused by an incarcerated Spigelian hernia. The patient underwent surgery at which the hernia was reposited at an open procedure and repaired with a mesh mat. The patient quickly recovered.

CONCLUSION

Spigelian hernias are located in the aponeurosis of the transverse abdominal muscle and internal oblique muscle. Diagnosis can be challenging; often the hernia is covered by the aponeurosis of the external oblique muscle. Because of the high risk of strangulation, operation is almost always indicated.

Authors+Show Affiliations

UMC St Radboud, afd. Algemene Heelkunde, Nijmegen, the Netherlands. d.ozdemir-vanbrunschot@chir.umcn.nlNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

dut

PubMed ID

23191968

Citation

Ozdemir-van Brunschot, Denise, and Otmar Buyne. "[Incarcerated Spigelian Hernia: a Rare Cause of Ileus]." Nederlands Tijdschrift Voor Geneeskunde, vol. 156, no. 48, 2012, pp. A5079.
Ozdemir-van Brunschot D, Buyne O. [Incarcerated Spigelian hernia: a rare cause of ileus]. Ned Tijdschr Geneeskd. 2012;156(48):A5079.
Ozdemir-van Brunschot, D., & Buyne, O. (2012). [Incarcerated Spigelian hernia: a rare cause of ileus]. Nederlands Tijdschrift Voor Geneeskunde, 156(48), A5079.
Ozdemir-van Brunschot D, Buyne O. [Incarcerated Spigelian Hernia: a Rare Cause of Ileus]. Ned Tijdschr Geneeskd. 2012;156(48):A5079. PubMed PMID: 23191968.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Incarcerated Spigelian hernia: a rare cause of ileus]. AU - Ozdemir-van Brunschot,Denise, AU - Buyne,Otmar, PY - 2012/11/30/entrez PY - 2012/11/30/pubmed PY - 2013/1/19/medline SP - A5079 EP - A5079 JF - Nederlands tijdschrift voor geneeskunde JO - Ned Tijdschr Geneeskd VL - 156 IS - 48 N2 - BACKGROUND: First described in 1764, the hernia of the semilunar line is called a Spigelian hernia. Spigelian hernias are rare: comprising only 1-2% of all abdominal hernias. CASE DESCRIPTION: A 73-year-old man presented at the emergency department complaining of not having defaecated and swelling of the right lower abdomen. This proved to be ileus caused by an incarcerated Spigelian hernia. The patient underwent surgery at which the hernia was reposited at an open procedure and repaired with a mesh mat. The patient quickly recovered. CONCLUSION: Spigelian hernias are located in the aponeurosis of the transverse abdominal muscle and internal oblique muscle. Diagnosis can be challenging; often the hernia is covered by the aponeurosis of the external oblique muscle. Because of the high risk of strangulation, operation is almost always indicated. SN - 1876-8784 UR - https://www.unboundmedicine.com/medline/citation/23191968/[Incarcerated_Spigelian_hernia:_a_rare_cause_of_ileus]_ L2 - http://www.ntvg.nl/A5079 DB - PRIME DP - Unbound Medicine ER -