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Hernia. 2003 Sep;7(3):156-7. Epub 2003 Feb 8.

Spigelian hernia associated with strangulation of the small bowel and appendix.

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School of Medicine Department of Surgery, Dokuz Eylul University, 35340 Izmir, Turkey.


Spigelian hernia is a rare lateral ventral abdominal hernia. These clinically elusive hernias are treacherous and have a real risk of strangulation. We present a patient with a strangulation of the small bowel and appendix in a right spigelian hernia, which was accurately demonstrated by spiral computerised tomography preoperatively and successfully treated with primary suturing reinforced with polypropylene mesh. With a high index of suspicion and the use of modern radiological technique, these "bewildering" hernias can be diagnosed and repaired relatively safely.

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