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Small bowel herniation through a spigelian defect within 48 hours after laparoscopy.
J Minim Invasive Gynecol. 2013 May-Jun; 20(3):392-3.JM

Abstract

Spigelian hernia is extremely rare, with an incidence of 1% to 2% of all abdominal hernias. Herein we report the case of a woman with a spigelian hernia occurring within 48 hours after laparoscopic salpingo-oophorectomy. The patient had abdominal pain, nausea, and abdominal mass. An abdominal series revealed multiple dilatations of the small bowel, compatible with a small bowel obstruction, and computed tomography demonstrated a right-sided abdominal hernia with small bowel obstruction. The diagnosis of spigelian hernia was made during a second surgery. The bowel was reduced and the fascial defect repaired. The postoperative recovery was uneventful. It would seem that pneumoperitoneum during laparoscopic surgery and the trauma of trocar insertion can trigger development of a spigelian hernia.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, McGill University, Montreal, Quebec, Canada. dr.bassi@yahoo.comNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23478002

Citation

Bassi, Ali, and Togas Tulandi. "Small Bowel Herniation Through a Spigelian Defect Within 48 Hours After Laparoscopy." Journal of Minimally Invasive Gynecology, vol. 20, no. 3, 2013, pp. 392-3.
Bassi A, Tulandi T. Small bowel herniation through a spigelian defect within 48 hours after laparoscopy. J Minim Invasive Gynecol. 2013;20(3):392-3.
Bassi, A., & Tulandi, T. (2013). Small bowel herniation through a spigelian defect within 48 hours after laparoscopy. Journal of Minimally Invasive Gynecology, 20(3), 392-3. https://doi.org/10.1016/j.jmig.2012.12.005
Bassi A, Tulandi T. Small Bowel Herniation Through a Spigelian Defect Within 48 Hours After Laparoscopy. J Minim Invasive Gynecol. 2013 May-Jun;20(3):392-3. PubMed PMID: 23478002.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Small bowel herniation through a spigelian defect within 48 hours after laparoscopy. AU - Bassi,Ali, AU - Tulandi,Togas, Y1 - 2013/03/09/ PY - 2012/10/26/received PY - 2012/12/07/revised PY - 2012/12/07/accepted PY - 2013/3/13/entrez PY - 2013/3/13/pubmed PY - 2013/10/29/medline SP - 392 EP - 3 JF - Journal of minimally invasive gynecology JO - J Minim Invasive Gynecol VL - 20 IS - 3 N2 - Spigelian hernia is extremely rare, with an incidence of 1% to 2% of all abdominal hernias. Herein we report the case of a woman with a spigelian hernia occurring within 48 hours after laparoscopic salpingo-oophorectomy. The patient had abdominal pain, nausea, and abdominal mass. An abdominal series revealed multiple dilatations of the small bowel, compatible with a small bowel obstruction, and computed tomography demonstrated a right-sided abdominal hernia with small bowel obstruction. The diagnosis of spigelian hernia was made during a second surgery. The bowel was reduced and the fascial defect repaired. The postoperative recovery was uneventful. It would seem that pneumoperitoneum during laparoscopic surgery and the trauma of trocar insertion can trigger development of a spigelian hernia. SN - 1553-4669 UR - https://www.unboundmedicine.com/medline/citation/23478002/Small_bowel_herniation_through_a_spigelian_defect_within_48_hours_after_laparoscopy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1553-4650(12)01330-1 DB - PRIME DP - Unbound Medicine ER -