A Case of Spigelian Hernia

Abstract

An 87-year-old woman was seen at our hospital because of abdominal pain nausea and vomiting in March 2006. There was a 3×3cm hard mass with tenderness in the left lower quadrant of the abdomen. Abdominal CT scan showed a prolapsed intestine in the left lower abdominal wall, which was diagnosed as an incarcerated hernia of the abdominal wall. A Spigelian hernia was diagnosed. Manual reduction of the hernia content was impossible, and an emergency operation was therefore performed. The hernia sac was found under the aponeurosis of the external oblique muscles, perforating the lacertus of the transverse abdominal muscles and internal oblique muscles. In conclusion, we made a diagnosis in this case of Spigelian hernia and repaired it with by direct suturing. The patients postoperative course was uneventful, and she was discharged very much improved on the 10th hospital day.