Spigelian hernia - traumatic

Case contributed by Dr Chris O'Donnell

Presentation

Handle-bar injury to the right lower abdominal wall with bruising and acutely painful, palpable lump after coughing.

Patient Data

Age: 50 years
Gender: Male
CT

Herniation of bowel loops through abdominal wall defect at the lateral border of the right rectus abdominis muscle (linea semilunaris) consistent with Spigelian hernia. No related bowel obstruction.

Case Discussion

Typical location of a Spigelian hernia lateral to the rectus abdominis muscle. In this case, it is traumatic due to a direct bicycle handle-bar impact injury at the site. This is very unusual. Note soft tissue swelling in the adjacent subcutaneous fat as well as the clinical skin bruising.

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Case information

rID: 17944
Published: 27th May 2012
Last edited: 16th Aug 2019
Inclusion in quiz mode: Included

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