Kılıç Murat Özgür, Değirmencioğlu Gürkan, Dener Cenap
Department of General Surgery, Turgut Özal University School of Medicine, Ankara, Turkey.
Turk J Surg. 2015 Jun 19;33(1):40-42. doi: 10.5152/UCD.2015.2793. eCollection 2017.
Spigelian hernia is a rare type of ventral hernias with nonspecific symptoms and signs. Therefore, its diagnosis is often difficult and requires more clinical attention. Although intermittent abdominal swelling and pain are the main symptoms, Spigelian hernias can be sometimes asymptomatic and are discovered incidentally at the operation. In some cases, these hernias can be associated with other abdominal wall hernias, therefore a detailed physical examination of the patients is necessary to avoid mistakes in diagnosis. Herein, we report an interesting and educational case of Spigelian hernia with accompanying ipsilateral both direct and indirect inguinal hernias in a male patient treated by open surgical repair with use of polypropylene mesh.
半月线疝是一种罕见的腹侧疝，症状和体征不具特异性。因此，其诊断往往困难，需要更多临床关注。虽然间歇性腹部肿胀和疼痛是主要症状，但半月线疝有时可能无症状，在手术中偶然发现。在某些情况下，这些疝可能与其他腹壁疝相关，因此对患者进行详细的体格检查对于避免诊断错误很有必要。在此，我们报告一例有趣且有教育意义的半月线疝病例，该男性患者同时伴有同侧腹股沟直疝和斜疝，采用聚丙烯网片开放手术修补治疗。
