Cesaro Edoardo, Rocco Concetta, Rosano Nicola, Ferrandino Giovanni, Marra Ester, Rispoli Corrado, Maio Domenico, Lugarà Marina, Tamburrini Stefania, Marano Ines
Department of Radiology, "Università degli Studi della Campania Luigi Vanvitelli", Naples, Italy.
Department of Radiology, Ospedale del Mare, ASL NA1 Centro, Via Enrico Russo, 80147, Naples, Italy.
Radiol Case Rep. 2020 Dec 19;16(3):520-523. doi: 10.1016/j.radcr.2020.12.038. eCollection 2021 Mar.
A Spigelian hernia is a rare hernia, making up approximately 0.1% of all abdominal wall hernias. This hernia goes through a defect in the Spigelian fascia which is the part of the transversus abdominis aponeurosis lateral to the rectus muscle, often at the level of the arcuate line, where the fascia is widest and weakest. Clinical diagnosis is difficult in patients without obvious abdominal mass but imaging can be a valuable adjunct in diagnosis. We report the case of a 64-year-old male who presented to our hospital with small bowel obstruction secondary to an incarcerated Spigelian hernia who was pre-operatively diagnosed with ultrasound and computed tomography. At ultrasound and computed tomography a closed loop obstruction in a Spigelian Hernia was detected, resembling on both imaging modalities a "bulb-like" appearance.
半月线疝是一种罕见的疝，约占所有腹壁疝的0.1%。这种疝通过半月线筋膜的缺损突出，半月线筋膜是腹直肌外侧的腹横肌腱膜的一部分，通常在弓状线水平，此处筋膜最宽且最薄弱。对于没有明显腹部肿块的患者，临床诊断困难，但影像学检查可作为诊断的重要辅助手段。我们报告一例64岁男性患者，因嵌顿性半月线疝导致小肠梗阻入院，术前通过超声和计算机断层扫描确诊。超声和计算机断层扫描均检测到半月线疝内的闭袢梗阻，两种影像学检查结果均显示为“灯泡样”外观。
