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An unusual Spigelian hernia involving the appendix: a case report.

Thomasset SC, Villatoro E, Wood S, Martin A, Finlay K, Patterson JE - Cases J (2010)

Bottom Line: We report the case of a 71-year-old man in whom an ischaemic appendix was found within the sac of a Spigelian hernia during emergency repair.There are very few reported cases in which an appendix has been found within a Spigelian hernia, in the absence of inflammatory bowel disease.An awareness of the range of viscera which may be encountered in Spigelian herniae is important for safe repair.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of General Surgery, King's Mill Hospital, Mansfield Road, Nottinghamshire, NG17 4JL, UK.

ABSTRACT

Introduction: Spigelian herniae are uncommon and frequently pose a diagnostic challenge.

Case presentation: We report the case of a 71-year-old man in whom an ischaemic appendix was found within the sac of a Spigelian hernia during emergency repair.

Conclusions: There are very few reported cases in which an appendix has been found within a Spigelian hernia, in the absence of inflammatory bowel disease. An awareness of the range of viscera which may be encountered in Spigelian herniae is important for safe repair.

No MeSH data available.


Related in: MedlinePlus

An ischaemic appendix (white arrow) and loop of terminal ileum within a Spigelian hernia.
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Figure 1: An ischaemic appendix (white arrow) and loop of terminal ileum within a Spigelian hernia.

Mentions: The patient underwent emergency repair of the Spigelian hernia. A transverse skin incision was made over the hernia and the external oblique aponeurosis was divided to reveal the hernial sac which was opened. It contained an ischaemic appendix and a knuckle of small bowel (Figure 1). The appendix was resected and the small bowel, which was viable, was reduced. The small muscular defect was approximated without tension in two layers using polydioxanone (PDS). Postoperative recovery was unremarkable. Histological examination of the appendix revealed features characteristic of ischaemia but no evidence of inflammation or neoplasia.


An unusual Spigelian hernia involving the appendix: a case report.

Thomasset SC, Villatoro E, Wood S, Martin A, Finlay K, Patterson JE - Cases J (2010)

An ischaemic appendix (white arrow) and loop of terminal ileum within a Spigelian hernia.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2820006&req=5

Figure 1: An ischaemic appendix (white arrow) and loop of terminal ileum within a Spigelian hernia.
Mentions: The patient underwent emergency repair of the Spigelian hernia. A transverse skin incision was made over the hernia and the external oblique aponeurosis was divided to reveal the hernial sac which was opened. It contained an ischaemic appendix and a knuckle of small bowel (Figure 1). The appendix was resected and the small bowel, which was viable, was reduced. The small muscular defect was approximated without tension in two layers using polydioxanone (PDS). Postoperative recovery was unremarkable. Histological examination of the appendix revealed features characteristic of ischaemia but no evidence of inflammation or neoplasia.

Bottom Line: We report the case of a 71-year-old man in whom an ischaemic appendix was found within the sac of a Spigelian hernia during emergency repair.There are very few reported cases in which an appendix has been found within a Spigelian hernia, in the absence of inflammatory bowel disease.An awareness of the range of viscera which may be encountered in Spigelian herniae is important for safe repair.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of General Surgery, King's Mill Hospital, Mansfield Road, Nottinghamshire, NG17 4JL, UK.

ABSTRACT

Introduction: Spigelian herniae are uncommon and frequently pose a diagnostic challenge.

Case presentation: We report the case of a 71-year-old man in whom an ischaemic appendix was found within the sac of a Spigelian hernia during emergency repair.

Conclusions: There are very few reported cases in which an appendix has been found within a Spigelian hernia, in the absence of inflammatory bowel disease. An awareness of the range of viscera which may be encountered in Spigelian herniae is important for safe repair.

No MeSH data available.


Related in: MedlinePlus