PDF(Pubmed)
Abstract：
Spigelian hernia is a rare type of abdominal wall hernia that accounts for only 0.12% of all abdominal hernias. A Spigelian hernia, also known as a spontaneous lateral ventral hernia or a hernia of the semilunar line, occurs when a part of the abdominal contents protrudes through the Spigelian fascia. Due to its anatomical location, Spigelian hernia can be difficult to diagnose through physical examination alone. Here we report a case of a 40-year-old female who experienced right abdominal pain and swelling, where ultrasonography imaging was crucial in the intraoperative diagnosis of Spigelian hernia. The patient underwent laparotomy mesh repair to address the condition. The lack of consistent physical findings and the rarity of the disease require a high level of clinical suspicion in the diagnosis of a Spigelian hernia. Its associated abdominal complaints are often vague and nonspecific, making it even more challenging. This case emphasizes the importance of utilizing imaging techniques to aid in the diagnosis of a Spigelian hernia and prompt surgical intervention to prevent complications associated with the hernia.
摘要：
Spigelian疝是一种罕见的腹壁疝，仅占所有腹部疝的0.12％。Spigelian疝气,也称为自发性腹侧疝或半月线疝，当一部分腹部内容物通过Spigelian筋膜突出时发生。由于它的解剖位置，仅通过体格检查很难诊断出Spigelian疝。在这里，我们报告了一个40岁的女性，她经历了右腹痛和肿胀，其中超声成像对术中诊断Spigelian疝至关重要。患者接受了剖腹手术网状修复术以解决这种情况。缺乏一致的体检结果和罕见的疾病需要高度的临床怀疑来诊断Spigelian疝。其相关的腹部不适通常是模糊和非特异性的，让它更具挑战性。此病例强调了利用成像技术帮助诊断Spigelian疝并及时进行手术干预以防止与疝相关的并发症的重要性。
