Colonic obstruction secondary to incarcerated Spigelian hernia in a severely obese patient
| Autor: | Stavros Gourgiotis, Nikolaos S. Salemis, Georgios Dimitrakopoulos, Nikolaos Panagiotopoulos, Christos Gakis, Nikolaos Kontoravdis |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
Mesh repair medicine.diagnostic_test business.industry Incarceration Physical examination Case Report medicine.disease Surgical planning digestive system diseases Surgery Abdominal wall Colonic obstruction stomatognathic diseases medicine.anatomical_structure surgical procedures operative Colon obstruction Spigelian hernia Rare case medicine Hernia Radiology business |
| Zdroj: | International Journal of Surgery Case Reports. (3):27-29 |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2010.06.006 |
| Popis: | Spigelian hernia is a rare hernia of the ventral abdominal wall accounting for 1–2% of all hernias. Incarceration of a Spigelian hernia has been reported in 17–24% of the cases. We herein describe an extremely rare case of a colonic obstruction secondary to an incarcerated Spigelian hernia in a severely obese patient. Physical examination was inconclusive and diagnosis was established by computed tomography scans. The patient underwent an open intraperitoneal mesh repair. A high level of suspicion and awareness is required as clinical findings of a Spigelian hernia are often nonspecific especially in obese patients. Computed tomography scan provides detailed information for the surgical planning. Open mesh repair is safe in the emergent surgical intervention of a complicated Spigelian hernia in severely obese patients. |
| Databáze: | OpenAIRE |
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