World Journal of Surgical Research Volume No 9

Case Report Open Access

A Rare Cause of Intestinal Obstruction

Satendra Kumar, Seema Khanna and Sanjeev K Gupta
World Journal of Surgical Research 2020, 9:2



Intestinal obstruction occurring in a Spigelian hernia is an uncommon event in a rare entity. A high index of clinical suspicion is needed to clinch the diagnosis.

Case Report

We report a case of obstructed Spigelian hernia in a 47 year old lady presenting in emergency with a history of swelling in right lower abdomen for four months and non passage of flatus and stool for three days. Contrast-enhanced computed tomography (CECT) of the abdomen was the most accurate radiological investigation. Emergency laparotomy and a tension free mesh hernia repair were done. Post operative course was uneventful.


Spigelian hernia is a rare ventral hernia. The symptomatology is vague but any complication like incarceration or obstruction warrants an emergency exploration. Open or laparoscopic mesh hernioplasty is the treatment of choice.


Spigelian hernia, CECT, Mesh, Hernioplasty

Download PDF    Full Text