Ozdemir-van Brunschot Denise, Buyne Otmar
UMC St Radboud, afd. Algemene Heelkunde, Nijmegen, the Netherlands.
Ned Tijdschr Geneeskd. 2012;156(48):A5079.
First described in 1764, the hernia of the semilunar line is called a Spigelian hernia. Spigelian hernias are rare: comprising only 1-2% of all abdominal hernias.
A 73-year-old man presented at the emergency department complaining of not having defaecated and swelling of the right lower abdomen. This proved to be ileus caused by an incarcerated Spigelian hernia. The patient underwent surgery at which the hernia was reposited at an open procedure and repaired with a mesh mat. The patient quickly recovered.
Spigelian hernias are located in the aponeurosis of the transverse abdominal muscle and internal oblique muscle. Diagnosis can be challenging; often the hernia is covered by the aponeurosis of the external oblique muscle. Because of the high risk of strangulation, operation is almost always indicated.
半月线疝于1764年首次被描述，被称为斯皮格尔疝。斯皮格尔疝很罕见：仅占所有腹外疝的1%-2%。
一名73岁男性因未排便及右下腹胀痛就诊于急诊科。结果发现是由嵌顿性斯皮格尔疝引起的肠梗阻。患者接受了手术，术中通过开放手术将疝复位，并用补片进行修补。患者恢复迅速。
斯皮格尔疝位于腹横肌和腹内斜肌腱膜。诊断具有挑战性；通常疝被腹外斜肌腱膜覆盖。由于绞窄风险高，几乎总是需要进行手术。
