A Rare Case of Multiple Spigelian Hernia demanded Differentiation from Cicatricial Hernia of the Abdominal Wall

Abstract

A 75-year-old woman was admitted for abdominal pain and vomiting was found in abdominal findings to have a tender 15×10cm mass. Abdominal computed tomography showed no aponeurosis at the lateral margin of the right rectus abdominis muscle and the omentum and intestinal tract projecting out of the abdominal cavity. X-ray examination of the small intestine showed no stenosis or dilation. Under a diagnosis of multiple Spigelian hernia, we resected the two hernia sacs and closed the orifice of the hernia with interrupted sutures. Spigelian hernia is uncommon in all abdominal wall hernia and multiple Spigelian hernia is even rarer.