1/3/2023 0 Comments Painful hernia![]() There were no palpable hernias in the inguinal region or anywhere on the anterior abdominal wall. ![]() Specifically, the abdomen was tender in the right lower quadrant with no specific areas of point tenderness. Her vital signs were within normal limits Body Mass Index (BMI) was 34.6. She had had previous laparoscopic cholecystectomy and tubal ligation. She was otherwise healthy with only mild hypertension. Notably, there was no clinical or radiographic evidence of inguinal or ventral hernias identified. She had had several evaluations and radiographic studies including ultrasound and contrast CT evaluations of her abdomen and pelvis, but without any definitive diagnosis. It would spontaneously subside to a dull ache before disappearing. She described the pain as a sharp and fleeting one that was made worse with certain movements. Case ReportĪ 46 year female presented with the complaint of right lower abdominal and inguinal pain for over 12 months. This case report reflects some of these diagnostic challenges as well as a simple repair technique. The clinical features are variable and very often they are diagnosed incidentally during abdominal exploration for persistent abdominal pain. Spigelian hernias are uncommon and represent only 0.1% of all abdominal hernias. Spigelian hernia, Pre-peritoneal repair (TEP) Introduction ![]() ![]() We discuss a case that highlights some of the diagnostic challenges associated with Spigelian hernias and discuss a simple laparoscopic approach to repair. Symptoms for non-obstructed hernias can be vague and non-specific. However, by their nature they often present a diagnostic challenge to clinicians. ![]()
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