A Rare Case of Multiple Spigelian Hernia demanded Differentiation from Cicatricial Hernia of the Abdominal Wall

Hisanori Kashizuka, Masatoshi Yamamoto, Hidetoshi Nishiwaki, Takeshi Ueda, Takasumi Hosoi and Atsushi Imagawa

Department of Surgery, Saiseikai Chuwa Hospital

A 75-year-old woman was admitted for abdominal pain and vomiting was found in abdominal findings to have a tender 15×10 cm mass. Abdominal computed tomography showed no aponeurosis at the lateral margin of the right rectus abdominis muscle and the omentum and intestinal tract projecting out of the abdominal cavity. X-ray examination of the small intestine showed no stenosis or dilation. Under a diagnosis of multiple Spigelian hernia, we resected the two hernia sacs and closed the orifice of the hernia with interrupted sutures. Spigelian hernia is uncommon in all abdominal wall hernia and multiple Spigelian hernia is even rarer.

Key words
Spigelian hernia, cicatricial hernia

Reprint requests
Hisanori Kashizuka Department of Surgery, Hoshigaoka Koseinenkin Hospital
4-8-1 Hoshigaoka, Hirakata, 573-8511 JAPAN

Accepted
May 31, 2007

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