Spigelian hernia causing small bowel obstruction
Right lower abdominal lump associated with pain, nausea and vomiting. Nil previous surgical history
Loading Stack -
0 images remaining
Multiple dilated loops of small bowel throughout the abdomen including fecalised ileal loops in the right lower quadrant. A transition point is identified within a right-sided Spigelian hernia which contains free fluid and a loop of distal ileum. The hernia measures 54 x 21 mm in axial plane with a 25 mm neck. No evidence of pneumoperitoneum.
1 case question available
This patient's hernia was reduced in the emergency department. They proceeded to a diagnostic laparoscopy to inspect the small bowel, which was viable, and a Spigelian hernia repair.