Gough Vivienne M, Vella Mark
Department of Surgery, Royal Alexandra Hospital, Paisley, UK.
Ann R Coll Surg Engl. 2009 Nov;91(8):W9-10. doi: 10.1308/147870809X450629.
A spigelian hernia is a rare cause of acute abdominal pain and its diagnosis is often difficult to make. A CT scan of the patient demonstrated an incarcerated spigelian hernia containing small bowel which had subsequently reduced spontaneously. The patient underwent laparoscopic repair of her spigelian hernia the following day and made a fast and uneventful recovery. This case illustrates the importance of imaging a patient whilst symptomatic if the diagnosis of a spigelian hernia is entertained.
半月线疝是急性腹痛的罕见病因，其诊断往往很难做出。对该患者进行的CT扫描显示有一个嵌顿性半月线疝，其中包含小肠，随后小肠自行复位。患者次日接受了腹腔镜半月线疝修补术，恢复迅速且过程顺利。该病例说明了如果考虑诊断为半月线疝，在患者出现症状时进行影像学检查的重要性。
