A Case of Traumatic Spigelian Herniation

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  • SAKAMOTO Yusuke
    Department of Surgery, Kobe City Medical Center General Hospital
  • HASHIDA Hiroki
    Department of Surgery, Kobe City Medical Center General Hospital
  • MITSUOKA Eisei
    Department of Surgery, Kobe City Medical Center General Hospital
  • IWASAKI Hiroshi
    Department of Emergency Outpatient Clinic, Kobe City Medical Center General Hospital
  • KAIHARA Satoshi
    Department of Surgery, Kobe City Medical Center General Hospital
  • HOSOTANI Ryo
    Department of Surgery, Kobe City Medical Center General Hospital

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Other Title
  • 術前に診断した外傷性Spigelヘルニアの1例
  • 症例 術前に診断した外傷性Spigelヘルニアの1例
  • ショウレイ ジュツゼン ニ シンダン シタ ガイショウセイ Spigel ヘルニア ノ 1レイ

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Abstract

A 20-year-old man, who had been involved in a traffic accident while driving a scooter, was transferred to our facility. A computed tomography examination showed a 4 cm × 6 cm defect in the aponeurosis adjacent to the left rectus abdominis and a herniation of the small intestine below the subcutaneous tissue. We suspected a traumatic Spigelian herniation and operated immediately. There was a defect of approximately 7 cm in the aponeurosis of the external abdominal oblique muscle and transversus abdominis, along the rectus sheath. The final diagnosis was a traumatic Spigelian herniation. There was no other damage to the abdomen, and we performed a simple closure of the fascia. The patient was uneventfully discharged on postoperative day 7 and remained well, with no recurrence of herniation at the 21-month follow-up examination. Given that traumatic Spigelian herniation is rarely reported in our country, we have reported this case, along with a review of the literature.

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