Laparoscopic repair of a Spigelian hernia complicated with bowel obstruction and appendicitis

López-Sánchez, Jaime; Barón Salvador, Beatriz; Sánchez Casado, Ana Belén; Muñoz-Bellvís, Luis

doi:10.1016/j.cireng.2022.04.026

ISSN: 2173-5077

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Vol. 100. Issue 12.

Pages 788 (December 2022)

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DOI: 10.1016/j.cireng.2022.04.026

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Laparoscopic repair of a Spigelian hernia complicated with bowel obstruction and appendicitis

Reparación laparoscópica de una hernia de Spiegel complicada con obstrucción intestinal y apendicitis

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Jaime López-Sáncheza,b,

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jalopsan@hotmail.com

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, Beatriz Barón Salvadora, Ana Belén Sánchez Casadoa, Luis Muñoz-Bellvísa,b

a Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario de Salamanca, Salamanca, Spain

b Instituto de Investigación Biomédica de Salamanca, Universidad de Salamanca, Salamanca, Spain

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A 69-year-old man presented to the emergency department with a 48-hour history of intestinal obstruction and tumour in the right iliac fossa. CT scan revealed a small bowel obstruction secondary to a Spiegel's hernia, together with an appendix incarcerated within. A laparoscopic approach was decided, performing a hernia reduction together with appendectomy, transabdomino-preperitoneal repair and subsequent small bowel resection through a Pfannenstiel incision.

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No funding was received for this paper.

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The authors have no conflict of interests to declare.

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