Spigelian hernia

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Left sided lower abdominal recurrent pain, swelling - 2 mths.

Patient Data

Age: about 40 yrs
Gender: Female
ultrasound

LEFT lower anterior abdominal wall hernia is noted.

Neck is between left rectus and oblique muscles.

Defect size - 36 x 35 mm

Small bowel with peristalsis and fat are present in sac.

Hernia is partly reducible.

Case Discussion

Findings favor spigelian hernia.

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