Bevilacqua Michael, Ahmed Saif, Miller Mark, Sallee David, Angel Wesley
Department of Radiology, University of Tennessee Health Science Center, Memphis, TN, USA.
Department of Surgery, Lincoln Memorial University - DeBusk College of Osteopathic Medicine, Harrogate, TN, USA.
J Radiol Case Rep. 2016 Nov 30;10(11):23-28. doi: 10.3941/jrcr.v10i11.2815. eCollection 2016 Nov.
Spigelian hernias are uncommon lateral ventral wall hernias with a significant rate of incarceration; these hernias often produce nonspecific clinical signs and symptoms as well as elusive imaging findings. Although there are reported cases of incarcerated appendices within Spigelian hernias, this case specifically illustrates the diagnostic difficulty these hernias present to both surgeons and radiologists. Additionally, we discuss important anatomy, demographics and risk factors, clinical symptoms, imaging pitfalls and recommendations for repair based on a review of literature.
半月线疝是一种少见的侧腹壁疝,嵌顿率较高;这些疝常产生非特异性的临床体征和症状以及难以捉摸的影像学表现。尽管有报道半月线疝内发生阑尾嵌顿的病例,但本病例具体说明了这些疝给外科医生和放射科医生带来的诊断困难。此外,我们在回顾文献的基础上,讨论了重要的解剖结构、人口统计学特征和危险因素、临床症状、影像学陷阱以及修复建议。