Case Report

A Rare Cause of Intestinal Obstruction

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

Abstract

Introduction

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.

Conclusions

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.

Keywords:

Spigelian hernia, CECT, Mesh, Hernioplasty

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