Spigelian and paraumbilical hernia

Case contributed by Dr Varun Babu

Presentation

Post bariatry abdominal swellings

Patient Data

Age: 35 years
Gender: Female

17 mm superior and just to the left of midline of the umbilicus is a 7 x 7 mm abdominal wall defect with herniation of omentum as content. Hernia sac measures 3.3 x 3.3 x 4.0 cm (TR x AP x CC). Mild fluid within sac.

5 cm above the umbilicus and 8 cm to the left of midline is a Spigelian hernia defect 3.0 x 2.7 cm. Hernia sac measures 11.0 x 9.5 x 4.2 cm (TR x AP x CC). It has omentum and terminal third of transverse colon afferent and efferent loops as content.

 

Case Discussion

A nice demonstration of a paraumbilical and Spigelian hernia. Always document if there are any signs of bowel incarceration in the hernia sac. 

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Case information

rID: 61959
Published: 26th Jul 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Vivid Diagnostic Centre

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