Case report: strangulated spigelian hernia as an uncommon cause of intestinal obstruction
DOI:
https://doi.org/10.56183/iberojhr.v4i2.676Palavras-chave:
Hernia, Spigelian hernia, Strangulated hernia, Intestinal Obstruction.Resumo
Spigelian hernias (SH) are very rare, representing approximately 0.5% to 2% of ventral wall hernia defects. Due to their low incidence, they pose a diagnostic and surgical challenge in General Surgery. This case report describes a rare strangulated Spigelian hernia causing intestinal obstruction in a 72-year-old female with a history of laparoscopic cholecystectomy. The patient presented with periumbilical pain, nausea, vomiting, and no bowel movements for 48 hours. Initial imaging suggested partial obstruction, but a CT scan confirmed herniation of ileal loops through the Spigelian aponeurosis. Surgical intervention included ileum resection, hernioplasty with mesh, and VAC drain placement. The complexity of diagnosing Spigelian hernias arises from their location, resembling umbilical or incisional hernias, and risk factors like obesity. This case emphasizes the need for accurate imaging and prompt surgery to prevent complications.
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Copyright (c) 2024 Juan Carlos Navarrete Pérez, Erika Daniela Criollo Pullupaxi, Cristina Noemi Camino Ortega, Hans Gabriel Solórzano Campaña, Steve Alexander Padilla Paredes
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