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A rare nonincisional lateral abdominal wall hernia.

Kim DJ, Park JW - Ann Surg Treat Res (2015)

Bottom Line: Three month before admission to Chungbuk National University Hospital, she found a large protruding mass measuring 8 cm in diameter in the midaxillary line just below the costal margin upon heavy coughing.The mass was easily reduced manually or by position change to left lateral decubitus.The patient was discharged uneventfully and did not show any evidence of recurrence at follow-up visits.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Chungbuk National University College of Medicine, Cheongju, Korea.

ABSTRACT
A 68-year-old woman presented a rare lateral abdominal wall hernia. Three month before admission to Chungbuk National University Hospital, she found a large protruding mass measuring 8 cm in diameter in the midaxillary line just below the costal margin upon heavy coughing. She had no history of abdominal trauma, infection, or operation previously. The mass was easily reduced manually or by position change to left lateral decubitus. CT scan showed a defect of the right transversus abdominis muscle and internal oblique muscle at the right flank with omental herniation. Its location is different from that of spigelian hernia or lumbar hernia. The peritoneal lining of the hernia sac was smooth and there was no evidence of inflammation or adhesion. The hernia was successfully repaired laparoscopically using Parietex composite mesh with an intraperitoneal onlay mesh technique. The patient was discharged uneventfully and did not show any evidence of recurrence at follow-up visits.

No MeSH data available.


Related in: MedlinePlus

Radiologic findings of lateral abdominal wall defect. Abdominopelvic CT scan showed omental fat herniation through lateral abdominal wall defect of transversus abdominis muscle and internal oblique muscle (A) at right flank just below costal margin (B).
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Figure 1: Radiologic findings of lateral abdominal wall defect. Abdominopelvic CT scan showed omental fat herniation through lateral abdominal wall defect of transversus abdominis muscle and internal oblique muscle (A) at right flank just below costal margin (B).

Mentions: Physical examination showed a large protruding mass measuring 8 cm in diameter in the midaxillary line just below the costal margin on her right flank during valsalva maneuver. It disappeared by changing position to the left lateral decubitus or by manual reduction. All results of preoperative laboratory tests were within normal ranges except suppressed serum TSH concentration. Findings in chest x-ray and echocardiography were normal. Abdominopelvic CT scan showed omental fat herniation through a lateral abdominal wall defect of the transversus abdominis muscle and internal oblique muscle at the right flank (Fig. 1).


A rare nonincisional lateral abdominal wall hernia.

Kim DJ, Park JW - Ann Surg Treat Res (2015)

Radiologic findings of lateral abdominal wall defect. Abdominopelvic CT scan showed omental fat herniation through lateral abdominal wall defect of transversus abdominis muscle and internal oblique muscle (A) at right flank just below costal margin (B).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4325649&req=5

Figure 1: Radiologic findings of lateral abdominal wall defect. Abdominopelvic CT scan showed omental fat herniation through lateral abdominal wall defect of transversus abdominis muscle and internal oblique muscle (A) at right flank just below costal margin (B).
Mentions: Physical examination showed a large protruding mass measuring 8 cm in diameter in the midaxillary line just below the costal margin on her right flank during valsalva maneuver. It disappeared by changing position to the left lateral decubitus or by manual reduction. All results of preoperative laboratory tests were within normal ranges except suppressed serum TSH concentration. Findings in chest x-ray and echocardiography were normal. Abdominopelvic CT scan showed omental fat herniation through a lateral abdominal wall defect of the transversus abdominis muscle and internal oblique muscle at the right flank (Fig. 1).

Bottom Line: Three month before admission to Chungbuk National University Hospital, she found a large protruding mass measuring 8 cm in diameter in the midaxillary line just below the costal margin upon heavy coughing.The mass was easily reduced manually or by position change to left lateral decubitus.The patient was discharged uneventfully and did not show any evidence of recurrence at follow-up visits.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Chungbuk National University College of Medicine, Cheongju, Korea.

ABSTRACT
A 68-year-old woman presented a rare lateral abdominal wall hernia. Three month before admission to Chungbuk National University Hospital, she found a large protruding mass measuring 8 cm in diameter in the midaxillary line just below the costal margin upon heavy coughing. She had no history of abdominal trauma, infection, or operation previously. The mass was easily reduced manually or by position change to left lateral decubitus. CT scan showed a defect of the right transversus abdominis muscle and internal oblique muscle at the right flank with omental herniation. Its location is different from that of spigelian hernia or lumbar hernia. The peritoneal lining of the hernia sac was smooth and there was no evidence of inflammation or adhesion. The hernia was successfully repaired laparoscopically using Parietex composite mesh with an intraperitoneal onlay mesh technique. The patient was discharged uneventfully and did not show any evidence of recurrence at follow-up visits.

No MeSH data available.


Related in: MedlinePlus