Case of Spigelian hernia with incarcerated appendix

Authors

  • Michael Bevilacqua
  • Saif Ahmed
  • Mark Miller
  • David Sallee
  • Wesley Angel

DOI:

https://doi.org/10.3941/jrcr.v10i11.2815

Keywords:

Spigelian hernia, appendix, appendicitis, incarcerated, abdominal, computed tomography

Abstract

Spigelian hernias are uncommon lateral ventral wall hernias with a significant rate of incarceration; these hernias often produce nonspecific clinical signs and symptoms as well as elusive imaging findings.  Although there are reported cases of incarcerated appendices within Spigelian hernias, this case specifically illustrates the diagnostic difficulty these hernias present to both surgeons and radiologists.  Additionally, we discuss important anatomy, demographics and risk factors, clinical symptoms, imaging pitfalls and recommendations for repair based on a review of literature.

Author Biographies

Michael Bevilacqua

University of Tennessee Health Science Center

Department of Radiology

1265 Union Ave., 7th Fl Thomas Bldg. 

Memphis, TN 38104

Saif Ahmed

Lincoln Memorial University - DeBusk College of Osteopathic Medicine.

Department of Surgery 

6965 Cumberland Gap Parkway

Harrogate, TN 37752

Mark Miller

Methodist - LeBonheur Healthcare, Methodist Germantown Hospital

7705 Poplar Ave. #310

Germantown, TN 38138

David Sallee

University of Tennessee Health Science Center - Memphis Radiological Professional Corporation

Department of Radiology

1265 Union Ave., 7th Fl Thomas Bldg. 

Memphis, TN 38104

Wesley Angel

University of Tennessee Health Science Center - Memphis Radiological Professional Corporation

Department of Radiology

1265 Union Ave., 7th Fl Thomas Bldg. 

Memphis, TN 38104

Published

2016-11-16

Issue

Section

Gastrointestinal Radiology