International journal of surgery case reports · 2026
Diagnostic and therapeutic challenges of a bilateral spigelian hernia: A case report with literature review.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Tounsi Mohamed K, Medhioub Fatma, Benasr Amal, Makhbouch Majd, Triki Wissem, Bouchoucha Sami
Аннотация
BACKGROUND: Spigelian hernia (SH) is an uncommon abdominal wall defect, and its bilateral occurrence is exceptionally rare. Early diagnosis and surgical management are essential to prevent complications.
CASE PRESENTATION: We report the case of a 52-year-old woman presenting with bilateral SH, revealed by painful abdominal wall swelling and symptoms of bowel obstruction. A computed tomography (CT) scan confirmed the diagnosis of bilateral SH. A laparoscopic approach was initially attempted but was converted to open surgery due to significant hypercapnia. The hernias were repaired with a dual-sided mesh, and postoperative recovery was uneventful.
DISCUSSION: SH represent only 1-2% of abdominal wall hernias and are often misdiagnosed due to nonspecific clinical signs. CT imaging plays a key role in diagnosis. Surgical repair is the definitive treatment, with the laparoscopic approach offering lower morbidity and a shorter hospital stay.
CONCLUSION: Bilateral SH is an exceptional presentation. Early imaging and prompt surgical intervention are crucial to avoiding strangulation.
CASE PRESENTATION: We report the case of a 52-year-old woman presenting with bilateral SH, revealed by painful abdominal wall swelling and symptoms of bowel obstruction. A computed tomography (CT) scan confirmed the diagnosis of bilateral SH. A laparoscopic approach was initially attempted but was converted to open surgery due to significant hypercapnia. The hernias were repaired with a dual-sided mesh, and postoperative recovery was uneventful.
DISCUSSION: SH represent only 1-2% of abdominal wall hernias and are often misdiagnosed due to nonspecific clinical signs. CT imaging plays a key role in diagnosis. Surgical repair is the definitive treatment, with the laparoscopic approach offering lower morbidity and a shorter hospital stay.
CONCLUSION: Bilateral SH is an exceptional presentation. Early imaging and prompt surgical intervention are crucial to avoiding strangulation.