Vescio G, Sommella L, Gallelli G, Battaglia M, Manzo F
Università degli Studi Magna Grecia Catanzaro Chirurgia Generale.
Ann Ital Chir. 2000 Sep-Oct;71(5):573-6.
We present a case of complicated Spigelian hernia presented with symptoms of intestinal occlusion, in a 50 years old woman. Spigelian hernia represents 1-2% of all abdominal hernias and can occur anywhere along the semicircular line of Douglas. The patient underwent emergency surgery followed by polypropylene plastic repair. The postoperative course was uneventful and the patient was discharged on day 8 post intervention in good general conditions. The 2 years follow-up showed no recurrence of the disease. Clinical examination is the foundation of the diagnosis, whereas radiological findings (ultrasonography, TC) allow the exclusion of other pathologies in the differential diagnosis. The preoperative diagnosis is difficult, mainly because of the non-specificity of symptoms as well as the few cases reported in the literature. In conclusion, we remark that the surgery remains the most effective treatment of Spigelian Hernia.
我们报告一例50岁女性的复杂性半月线疝，该患者表现出肠梗阻症状。半月线疝占所有腹外疝的1%-2%，可发生于道格拉斯半环线的任何位置。患者接受了急诊手术及聚丙烯修补术。术后恢复顺利，患者于干预后第8天出院，一般状况良好。两年随访显示疾病无复发。临床检查是诊断的基础，而影像学检查结果（超声、CT）有助于在鉴别诊断中排除其他病变。术前诊断困难，主要是因为症状不具有特异性且文献报道的病例较少。总之，我们指出手术仍然是半月线疝最有效的治疗方法。
