Abstract：
UNASSIGNED: Spigelian hernias are rare abdominal wall defects that occur at the semilunar line lateral to the rectus abdominis muscle. They are located between the muscular layers of the abdominal wall and can be easily overlooked because of abdominal obesity. They are difficult to diagnose because of their location and vague symptoms. The diagnosis has been considerably aided by the introduction of ultrasonography and Computed Tomography.
METHODS: We report a case of 60 years old male who presented with swelling and vague abdominal discomfort in the right lower abdomen and was diagnosed with the help of CT scan in prone position. The patient underwent transabdominal preperitoneal repair laparoscopically. His recovery was uneventful.
UNASSIGNED: Spigelian hernia constitutes about 0.12 to 0.2 % of all abdominal hernias. It commonly occurs in semilunaris line, well-defined defect in the Spigelian aponeurosis at the \"Spigelian hernia\" belt. Ultrasound scanning is recommended as first line imaging investigation in suspected case. Prompt surgical repair is recommended for spigelian hernia to prevent subsequent strangulation.
CONCLUSIONS: Since spigelian hernia is a rare entity a high index of suspicion is required for accurate diagnosis. Once diagnosis is made, operative management is required to prevent incarceration.
METHODS: We report a case of 60 years old male who presented with swelling and vague abdominal discomfort in the right lower abdomen and was diagnosed with the help of CT scan in prone position. The patient underwent transabdominal preperitoneal repair laparoscopically. His recovery was uneventful.
UNASSIGNED: Spigelian hernia constitutes about 0.12 to 0.2 % of all abdominal hernias. It commonly occurs in semilunaris line, well-defined defect in the Spigelian aponeurosis at the \"Spigelian hernia\" belt. Ultrasound scanning is recommended as first line imaging investigation in suspected case. Prompt surgical repair is recommended for spigelian hernia to prevent subsequent strangulation.
CONCLUSIONS: Since spigelian hernia is a rare entity a high index of suspicion is required for accurate diagnosis. Once diagnosis is made, operative management is required to prevent incarceration.
摘要：
■Spigelian疝是罕见的腹壁缺损，发生在腹直肌外侧的半月线。它们位于腹壁的肌肉层之间，由于腹部肥胖而容易被忽略。由于它们的位置和模糊的症状，它们很难诊断。超声检查和计算机断层扫描的引入极大地帮助了诊断。
方法：我们报告一例60岁男性，表现为右下腹部肿胀和模糊的腹部不适，并在俯卧位CT扫描的帮助下诊断。患者在腹腔镜下接受了经腹腹膜前修补。他的康复顺利。
■Spigelian疝约占所有腹部疝的0.12％至0.2％。它通常发生在semilunaris线，“Spigelian疝”带的Spigelian膜缺损。在疑似病例中，建议使用超声扫描作为一线影像学检查。建议对斯皮氏疝进行及时的手术修复，以防止随后的绞窄。
结论：由于Spigelian疝是一种罕见的实体，因此需要高度怀疑才能准确诊断。一旦做出诊断，需要手术管理来防止监禁。
方法：我们报告一例60岁男性，表现为右下腹部肿胀和模糊的腹部不适，并在俯卧位CT扫描的帮助下诊断。患者在腹腔镜下接受了经腹腹膜前修补。他的康复顺利。
■Spigelian疝约占所有腹部疝的0.12％至0.2％。它通常发生在semilunaris线，“Spigelian疝”带的Spigelian膜缺损。在疑似病例中，建议使用超声扫描作为一线影像学检查。建议对斯皮氏疝进行及时的手术修复，以防止随后的绞窄。
结论：由于Spigelian疝是一种罕见的实体，因此需要高度怀疑才能准确诊断。一旦做出诊断，需要手术管理来防止监禁。
