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Spigelian hernia

Bezzant SMB - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Spigelian hernia

History: 54 y/o female with acute abdominal pain and a history of remote abdominal surgery, evaluate for adhesion/obstruction. Plain abdominal film showed possible obstruction

Findings: Axial, coronal MIP, sagittal, and adjusted coronal plane images reveal bowel herniation through a right lateral abdominal wall defect, near the level of the iliac spines. Oral contrast opacifies minimally dilated bowel to the point of prolapse, beyond which the prolapsed segment and remaining distal bowel are unopacified. There is prolapsed omental fat as well, with mild inflammatory stranding.

Ddx: Spigelian hernia, congenital or acquired

No MeSH data available.


Axial, coronal MIP, sagittal, and adjusted coronal plane images reveal bowel herniation through a right lateral abdominal wall defect, near the level of the iliac spines.  Oral contrast opacifies minimally dilated bowel to the point of prolapse, beyond which the prolapsed segment and remaining distal bowel are unopacified.  There is prolapsed omental fat as well, with mild inflammatory stranding.
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MPX2570_synpic18867: Axial, coronal MIP, sagittal, and adjusted coronal plane images reveal bowel herniation through a right lateral abdominal wall defect, near the level of the iliac spines. Oral contrast opacifies minimally dilated bowel to the point of prolapse, beyond which the prolapsed segment and remaining distal bowel are unopacified. There is prolapsed omental fat as well, with mild inflammatory stranding.


Spigelian hernia

Bezzant SMB - MedPix

Axial, coronal MIP, sagittal, and adjusted coronal plane images reveal bowel herniation through a right lateral abdominal wall defect, near the level of the iliac spines.  Oral contrast opacifies minimally dilated bowel to the point of prolapse, beyond which the prolapsed segment and remaining distal bowel are unopacified.  There is prolapsed omental fat as well, with mild inflammatory stranding.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2570&req=5

MPX2570_synpic18867: Axial, coronal MIP, sagittal, and adjusted coronal plane images reveal bowel herniation through a right lateral abdominal wall defect, near the level of the iliac spines. Oral contrast opacifies minimally dilated bowel to the point of prolapse, beyond which the prolapsed segment and remaining distal bowel are unopacified. There is prolapsed omental fat as well, with mild inflammatory stranding.

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Spigelian hernia

History: 54 y/o female with acute abdominal pain and a history of remote abdominal surgery, evaluate for adhesion/obstruction. Plain abdominal film showed possible obstruction

Findings: Axial, coronal MIP, sagittal, and adjusted coronal plane images reveal bowel herniation through a right lateral abdominal wall defect, near the level of the iliac spines. Oral contrast opacifies minimally dilated bowel to the point of prolapse, beyond which the prolapsed segment and remaining distal bowel are unopacified. There is prolapsed omental fat as well, with mild inflammatory stranding.

Ddx: Spigelian hernia, congenital or acquired

No MeSH data available.