Tags

Type your tag names separated by a space and hit enter

Left colon obstruction due to non-reducible Spigelian hernia of the right side. Report of a case and literature review.
Ann Ital Chir. 2016 Jul 15; 87AI

Abstract

AIM

Describe a rare case of intestinal obstruction due to sigmoid colon incarceration into a right Spigelian hernia and provide a literature review about its surgical management.

MATERIAL OF STUDY

An 88 year-old man presented with a 3-day history of right lower quadrant pain and abdominal distension. Clinical examination revealed a not reducible palpable mass on right side of the anterior abdominal wall. Computed tomography shown signs of intestinal obstruction and a Spigelian hernia of about 3 cm.

RESULTS

Sigmoid colon was incarcerated in the defect but no signs of intestinal ischemia was found during the surgical exploration. The hernia content was reduced and the defect was repaired with a polypropylene mesh placed in the pre-peritoneal space. Postoperative period was uneventful and the patient was discharged on the fourth postoperative day.

DISCUSSION

Spigelian hernia occurs through congenital or acquired defects in the Spigelian fascia at the level of the semicircular line. Clinical presentation depends on the size and the pattern of the hernia defect. In some cases, symptoms are no specific and uncommon findings have been reported so far. Preoperative establishment of the hernia content and the location of the sac is mandatory to plan a correct surgical strategy. Intestinal incarceration often occurs and suggests a prompt surgical exploration.

CONCLUSIONS

Colonic obstruction secondary to an incarcerated Spigelian hernia is a rare but dangerous occurrence. Surgical approach is selected based on patient's conditions and surgeon's expertise. In a non-contaminated surgical field, the use of prosthesis is recommended.

KEY WORDS

Intestinal obstruction, Mesh repair, Spigelian hernia.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

28401879

Citation

Panaccio, Paolo, et al. "Left Colon Obstruction Due to Non-reducible Spigelian Hernia of the Right Side. Report of a Case and Literature Review." Annali Italiani Di Chirurgia, vol. 87, 2016.
Panaccio P, Raimondi P, Fiordaliso M, et al. Left colon obstruction due to non-reducible Spigelian hernia of the right side. Report of a case and literature review. Ann Ital Chir. 2016;87.
Panaccio, P., Raimondi, P., Fiordaliso, M., Dell'Osa, A., Cotellese, R., & Innocenti, P. (2016). Left colon obstruction due to non-reducible Spigelian hernia of the right side. Report of a case and literature review. Annali Italiani Di Chirurgia, 87.
Panaccio P, et al. Left Colon Obstruction Due to Non-reducible Spigelian Hernia of the Right Side. Report of a Case and Literature Review. Ann Ital Chir. 2016 Jul 15;87 PubMed PMID: 28401879.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Left colon obstruction due to non-reducible Spigelian hernia of the right side. Report of a case and literature review. AU - Panaccio,Paolo, AU - Raimondi,Paolo, AU - Fiordaliso,Michele, AU - Dell'Osa,Antonio, AU - Cotellese,Roberto, AU - Innocenti,Paolo, Y1 - 2016/07/15/ PY - 2017/4/13/entrez PY - 2017/4/13/pubmed PY - 2018/2/13/medline JF - Annali italiani di chirurgia JO - Ann Ital Chir VL - 87 N2 - AIM: Describe a rare case of intestinal obstruction due to sigmoid colon incarceration into a right Spigelian hernia and provide a literature review about its surgical management. MATERIAL OF STUDY: An 88 year-old man presented with a 3-day history of right lower quadrant pain and abdominal distension. Clinical examination revealed a not reducible palpable mass on right side of the anterior abdominal wall. Computed tomography shown signs of intestinal obstruction and a Spigelian hernia of about 3 cm. RESULTS: Sigmoid colon was incarcerated in the defect but no signs of intestinal ischemia was found during the surgical exploration. The hernia content was reduced and the defect was repaired with a polypropylene mesh placed in the pre-peritoneal space. Postoperative period was uneventful and the patient was discharged on the fourth postoperative day. DISCUSSION: Spigelian hernia occurs through congenital or acquired defects in the Spigelian fascia at the level of the semicircular line. Clinical presentation depends on the size and the pattern of the hernia defect. In some cases, symptoms are no specific and uncommon findings have been reported so far. Preoperative establishment of the hernia content and the location of the sac is mandatory to plan a correct surgical strategy. Intestinal incarceration often occurs and suggests a prompt surgical exploration. CONCLUSIONS: Colonic obstruction secondary to an incarcerated Spigelian hernia is a rare but dangerous occurrence. Surgical approach is selected based on patient's conditions and surgeon's expertise. In a non-contaminated surgical field, the use of prosthesis is recommended. KEY WORDS: Intestinal obstruction, Mesh repair, Spigelian hernia. SN - 2239-253X UR - https://www.unboundmedicine.com/medline/citation/28401879/Left_colon_obstruction_due_to_non_reducible_Spigelian_hernia_of_the_right_side__Report_of_a_case_and_literature_review_ L2 - https://medlineplus.gov/intestinalobstruction.html DB - PRIME DP - Unbound Medicine ER -