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Griffin AS, Schaefer NR, Jeyarajan E, et al. Concurrent Spigelian hernia and falciform ligament hernia in a 67-year-old female. Int J Surg Case Rep. 2015;13:27-9doi: 10.1016/j.ijscr.2015.05.035.
Griffin, A. S., Schaefer, N. R., Jeyarajan, E., & Cross, T. (2015). Concurrent Spigelian hernia and falciform ligament hernia in a 67-year-old female. International journal of surgery case reports, 1327-9. https://doi.org/10.1016/j.ijscr.2015.05.035
Griffin, Aaron S, et al. "Concurrent Spigelian hernia and falciform ligament hernia in a 67-year-old female." International journal of surgery case reports vol. 13 (2015): 27-9. doi: https://doi.org/10.1016/j.ijscr.2015.05.035
Griffin AS, Schaefer NR, Jeyarajan E, Cross T. Concurrent Spigelian hernia and falciform ligament hernia in a 67-year-old female. Int J Surg Case Rep. 2015;13:27-9. doi: 10.1016/j.ijscr.2015.05.035. Epub 2015 Jun 06. PMID: 26083483; PMCID: PMC4529639.
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Int J Surg Case Rep. 2015;13:27-9. doi: 10.1016/j.ijscr.2015.05.035. Epub 2015 Jun 06.

Concurrent Spigelian hernia and falciform ligament hernia in a 67-year-old female.

International journal of surgery case reports

Aaron S Griffin, Nathan R Schaefer, Eshwarshanker Jeyarajan, Trent Cross

Affiliations

  1. Department of Surgery, Cairns Base Hospital, 165-171 Esplanade, Cairns 4870 Queensland, Australia. Electronic address: [email protected].
  2. Griffith University, Gold Coast Department of Surgery, Gold Coast University Hospital, Australia.
  3. James Cook University, Cairns Base Hospital, Australia.

PMID: 26083483 PMCID: PMC4529639 DOI: 10.1016/j.ijscr.2015.05.035

Abstract

INTRODUCTION: Internal abdominal hernias account for 1% of all hernias but 5.8% of all bowel obstructions and hence are of significant clinical importance. Similarly Spigelian hernias account for only 0.12-2% of all abdominal wall hernias.

CASE PRESENTATION: We present and discuss the management of a case that presented with concurrent falciform ligament internal abdominal hernia and Spigelian hernia. We believe this is the first reported case of such an occurrence in the literature.

CONCLUSION: Due to the advancements in computer topography (CT) imaging many internal and Spigelian hernias are diagnosed pre-operatively though these scan are not always available or indicated in cases of suspected small bowel obstruction. Due to the high mortality rate of undiagnosed internal hernias a high clinical suspicion must be maintained. The authors recommend laparoscopic trans-abdominal repair of Spigelian hernias in order to examine the abdominal contents and exclude rare, though potentially serious internal hernias.

Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Abdominal wall; Falciform ligament; Hernia; Internal hernia; Spigelian

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