Concurrent Spigelian hernia and falciform ligament hernia in a 67-year-old female

Griffin, Aaron S., Schaefer, Nathan R., Jeyarajan, Eshwarshanker, and Cross, Trent (2015) Concurrent Spigelian hernia and falciform ligament hernia in a 67-year-old female. International Journal of Surgery Case Reports, 13. pp. 27-29.

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Introduction: Internal abdominal hernias account for 1% of all hernias but 5.8% of all bowel obstructions and hence are of significant clinical importance. Similarly Spigelian hernias account for only 0.12–2% of all abdominal wall hernias.

Case presentation: We present and discuss the management of a case that presented with concurrent falciform ligament internal abdominal hernia and Spigelian hernia. We believe this is the first reported case of such an occurrence in the literature.

Conclusion: Due to the advancements in computer topography (CT) imaging many internal and Spigelian hernias are diagnosed pre-operatively though these scan are not always available or indicated in cases of suspected small bowel obstruction. Due to the high mortality rate of undiagnosed internal hernias a high clinical suspicion must be maintained. The authors recommend laparoscopic trans-abdominal repair of Spigelian hernias in order to examine the abdominal contents and exclude rare, though potentially serious internal hernias.

Item ID: 41890
Item Type: Article (Case Study)
ISSN: 2210-2612
Keywords: spigelian; hernia; falciform ligament; internal hernia; abdominal wall
Copyright Information: © 2015 The Authors. Published by Elsevier Ltd. on behalf of Surgical Associates Ltd. This is an open access article under the CC BY-NC-ND license (
Date Deposited: 08 Dec 2015 13:49
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110323 Surgery @ 100%
SEO Codes: 97 EXPANDING KNOWLEDGE > 970111 Expanding Knowledge in the Medical and Health Sciences @ 100%
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