A Case Report of Spigelian Hernia

Hideo Takahashi, Takuhisa Kawakami, Tamotsu Yasuda, Yasuke Uno, Takaaki Iwase

Department of Surgery, Hokuriku Central Hospital

Spigelian hernia is an uncommon abdominal wall hernia. A 65-year-old woman was admitted into our hospital with complaints of recurrent swelling and pain in the right lower quadrant for the past seven years. The abdominal findings showed an 8×10 cm fist-sized tender mass in the right lower quadrant. The hernia orifice was limited to the Spigelian aponeurosis. At surgery, a hernia sac was found under the thin external abdominis oblique aponeurosis. The sac contained omentum. The hernial orifive was 3×4 cm in diameter. Only eight cases including this one have been reported in Japan, because of the difficult diagnosis of a small hernia and only a limited knowledge of this disease.

Key words
Spigelian hernia

Reprint requests
Hideo Takahashi Department of Surgery, Hokuriku Central Hospital
2124-1 Hanyu, Oyabe-shi, Toyama, 932 JAPAN

Accepted
January 13, 1993

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