Reinke Caroline, Resnick Andrew
Hospital of the University of Pennsylvania, Philadelphia, USA.
J Surg Case Rep. 2010 Dec 1;2010(10):3. doi: 10.1093/jscr/2010.10.3.
Spigelian hernias are rare, making up only 1-2% of all hernias. Like other hernias, they may contain abdominal contents but are more likely to be incarcerated due to the small size of the fascial defect.(1) We describe here the case of a 71-year-old female with a 10-year history of right lower quadrant pain that remained undiagnosed despite multiple imaging studies. Prior to presentation the patient developed a new bulge and increasing pain at this site; an ultrasound revealed the presence of a bowel-containing hernia. The patient was taken urgently to the operating room for a laparoscopic Spigelian hernia repair, and was found to have an incarcerated appendix in the hernia. After the hernia was reduced, an appendectomy was performed and the hernia was repaired with biological mesh. Postoperatively, the patient did well, and her pain resolved.
半月线疝很罕见，仅占所有疝的1%-2%。与其他疝一样，它们可能包含腹腔内容物，但由于筋膜缺损较小，更易发生嵌顿。（1）我们在此描述一名71岁女性的病例，她有10年右下象限疼痛病史，尽管进行了多项影像学检查仍未确诊。在就诊前，患者在此部位出现了一个新的肿块且疼痛加剧；超声检查显示存在一个含有肠管的疝。患者被紧急送往手术室进行腹腔镜半月线疝修补术，术中发现疝内有一个嵌顿的阑尾。疝还纳后，进行了阑尾切除术，并用生物补片修补了疝。术后，患者恢复良好，疼痛消失。
