Case Report

Spigelian Hernia: About a Case and Review of the Literature at the General Surgery Department of the Koundara Prefectural Hospital

Authors: Barry AM, Sylla H, Sylla A, Diallo MSK, Conde O, Camara FL.

DOI: 10.33425/2689-1093.1102

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Abstract

Spiegel hernia corresponds to the protrusion of a peritoneal sac through an acquired or congenital opening in the semilunar line of Spiegel. It is a rare form, accounting for between 0.1 to 1% of abdominal wall hernias. Ultrasound and especially CT scan are useful for diagnosis. We report the case of a 70-year-old patient, presenting with a left para-rectal mass above and below the umbilicus, gradually increasing in size, without bowel disturbances and without general health deterioration. An ultrasound suggested a left Spiegel hernia. A simple suture was performed after reintegration of the sac’s contents, followed by its resection. The postoperative course was unexpected with a 2-year follow-up.

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