Gurung Rajan, Ali Aishath Azna, Lee Fei Yee, Mra Aung, Hayati Firdaus
Department of Surgery, Indira Gandhi Memorial Hospital, Male', Maldives.
Department of Urology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Seri Kembangan, Selangor, Malaysia.
Urol Case Rep. 2021 Apr 20;38:101687. doi: 10.1016/j.eucr.2021.101687. eCollection 2021 Sep.
Spigelian hernia (SH) occurs due to the protrusion through a congenital or acquired defect or weakness in the Spigelian aponeurosis. SH accounts for only 0.1-0.4% of occurrence and a 17-24% risk of strangulation. We hereby report a case of a 34-year-old gentleman presented with concomitant incarceration of the omentum with small intestine and testis in Spigelian hernia sac. We have successfully operated on this patient via a transperitoneal approach with a small incision over the hernia site. This incision could be an alternative to midline laparotomy as a safe and effective method in managing incarcerated SH in an emergency setting.
半月线疝（SH）是由于通过半月线腱膜的先天性或后天性缺陷或薄弱部位突出而发生的。半月线疝的发生率仅为0.1 - 0.4%，绞窄风险为17 - 24%。我们在此报告一例34岁男性患者，其半月线疝囊内伴有大网膜、小肠和睾丸的嵌顿。我们通过经腹途径在疝部位做小切口成功地为该患者进行了手术。在紧急情况下，这种切口可作为中线剖腹术的替代方法，是处理嵌顿性半月线疝的一种安全有效的方法。
