Department of Obstetrics and Gynecology, McGill University, Montreal, Quebec, Canada.
J Minim Invasive Gynecol. 2013 May-Jun;20(3):392-3. doi: 10.1016/j.jmig.2012.12.005. Epub 2013 Mar 9.
Spigelian hernia is extremely rare, with an incidence of 1% to 2% of all abdominal hernias. Herein we report the case of a woman with a spigelian hernia occurring within 48 hours after laparoscopic salpingo-oophorectomy. The patient had abdominal pain, nausea, and abdominal mass. An abdominal series revealed multiple dilatations of the small bowel, compatible with a small bowel obstruction, and computed tomography demonstrated a right-sided abdominal hernia with small bowel obstruction. The diagnosis of spigelian hernia was made during a second surgery. The bowel was reduced and the fascial defect repaired. The postoperative recovery was uneventful. It would seem that pneumoperitoneum during laparoscopic surgery and the trauma of trocar insertion can trigger development of a spigelian hernia.
脐旁疝极为罕见，占所有腹疝的 1%至 2%。本文报告了一例腹腔镜输卵管卵巢切除术 48 小时后发生脐旁疝的女性患者。患者出现腹痛、恶心和腹部肿块。腹部 X 线检查显示小肠多处扩张，符合小肠梗阻，CT 显示右侧腹部疝合并小肠梗阻。在第二次手术中诊断为脐旁疝。行肠复位和筋膜缺损修补术。术后恢复顺利。腹腔镜手术中的气腹和套管插入的创伤似乎可以引发脐旁疝的发生。
