A rare case of Spigelian hernia combined with direct and indirect inguinal hernias
Murat Özgür Kılıç, Gürkan Değirmencioğlu, Cenap Dener
Department of General Surgery, Turgut Özal University School of Medicine, Ankara, Turkey
Abstract
Spigelian hernia is a rare type of ventral hernias with nonspecific symptoms and signs. Therefore, its diagnosis is often difficult and requires more clinical attention. Although intermittent abdominal swelling and pain are the main symptoms, Spigelian hernias can be sometimes asymptomatic and are discovered incidentally at the operation. In some cases, these hernias can be associated with other abdominal wall hernias, therefore a detailed physical examination of the patients is necessary to avoid mistakes in diagnosis. Herein, we report an interesting and educational case of Spigelian hernia with accompanying ipsilateral both direct and indirect inguinal hernias in a male patient treated by open surgical repair with use of polypropylene mesh.
Keywords: Abdominal wall hernia, inguinal hernia, Spigelian hernia, ventral hernia
Written informed consent was obtained from patient who participated in this case.
Externally peer-reviewed.
Concept - M.Ö.K., C.D.; Design - C.D.; Supervision - C.D., G.D.; Funding - M.Ö.K., C.D., G.D.; Materials - M.Ö.K., G.D.; Data Collection and/or Processing - M.Ö.K.; Analysis and/or Interpretation - M.Ö.K.; Literature Review - M.Ö.K.; Writer - M.Ö.K., C.D.; Critical Review - M.Ö.K., C.D., G.D.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.