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Arch Hellen Med, 29(2), March-April 2012, 221-225


Intestinal obstruction in a Spigelian hernia with a concomitant jejunal diverticulum

Κ. Paschos, Κ. Mpoulas, Χ. Vrakas
Second Department of Surgery, General Hospital of Drama, Drama, Greece

Spigelian hernia (SH) is a rare type of hernia, usually of limited diameter, which commonly presents complications, including incarceration and strangulation of the major omentum and the small or large bowel. The clinical case refers of a 70 year-old woman with an incarcerated SH and intestinal obstruction and a concomitant jejunal diverticulum, treated successfully by open anterior hernioplasty and resection of the diverticulum. The principal anatomic and clinical features of the SH, its possible complications, the diagnostic difficulties and the current relevant radiological and therapeutic procedures are discussed, according to the recent international bibliography.

Key words: Abdominal wall, Diverticulum, Hernia, Spigelian hernia.

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