Spigelian Hernia: A Case report

• Published in: JNMA; journal of the Nepal Medical Association Vol. 62; no. 270; pp. 145 - 147
• Main Authors: Shrestha, Prinsa, K C, Gaurab, Acharya, Bidur, Shah, Shiv Raj, Regmee, Sujan
• Format: Journal Article
• Language: English
• Published: Nepal Journal of the Nepal Medical Association 24-02-2024; Nepal Medical Association
• Subjects: Abdominal Pain; Case Report; case reports; Fascia; Female; Hernia, Ventral - diagnosis; Hernia, Ventral - surgery; Humans; Laparoscopy - methods; Middle Aged; rectus abdominis; Tomography, X-Ray Computed; ventral hernia
• ISSN: 0028-2715; 1815-672X
• DOI: 10.31729/jnma.8440

A Spigelian hernia is a hernia through the Spigelian fascia which are difficult to diagnose as they do not present with a subcutaneous swelling and can be dangerous as there is a high risk of incarceration. We report a case of a 51-year-old female who presented to our surgical unit with epigastric pain for 5 days. She was diagnosed with Spigelian hernia with esophagitis and antral gastritis with the help of a computed tomography scan and upper gastrointestinal endoscopy. The diagnosis was confirmed on diagnostic laparoscopy and transabdominal preperitoneal repair of the defect was performed using prolene mesh. Her post-operative period was uneventful. Spigelian hernias are rare and patients can present with atypical symptoms as in this case. Thus, imaging plays a vital role in diagnosis. Management is surgical and has good outcomes.
case reports; rectus abdominis; ventral hernia.