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Case Studies | Radiology and Medical Imaging Sciences | India | Volume 13 Issue 5, May 2024 | Rating: 4.6 / 10
Rare Case of Richter - Type Spigelian Hernia
Dr. Pooja Ketan Doshi | Dr. Jawahar Vontivillu [2]
Abstract: Richter hernia is the herniation of the anti - mesenteric portion of the intestine through a fascial defect. Spigelian hernia is a ventral abdominal wall hernia that occurs through congenital or acquired defect in the transversus abdominis aponeurosis (also known as the Spigelian aponeurosis) which lies at the linea semilunaris. Spigelian hernias are uncommon, comprising only 1?2% of all hernias presenting to the emergency department. The cause of Spigelian hernias is generally thought to be multifactorial, involving both congenital and acquired factors. However, some reports suggest that up to 50% of Spigelian hernias occur in patients with history of prior abdominal surgery. Abdominal computed tomography (CT) establishes the diagnosis. Richter hernias are more common in women and usually involves a segment of distal ileum. Richter - type Spigelian hernias are extremely rare, with very few reports in the literature. Clinical diagnosis is challenging and CT scan is the diagnostic study of choice. Here we document a case of a Richter - type Spigelian hernia in a woman, at Dr. D Y Patil hospital, Navi Mumbai.
Keywords: Richter hernia, Spigelian hernia, Richter - type Spigelian hernia
Edition: Volume 13 Issue 5, May 2024,
Pages: 1778 - 1781