Spigelian hernia report of five cases and review of the literature

✍ Scribed by David Bailey

• Publisher: John Wiley and Sons
• Year: 1957
• Tongue: English
• Weight: 585 KB
• Volume: 44
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.18004418714

✦ Synopsis

SPIGELIAN hernia, although not rare, is not a commonly recognized condition and receives scant attention in most of the standard text-books. River (1942) reviewed 116 cases, including 4 of his own, and since that time an increasing number have been reported, but only 29 of these are in the British and American literature.

Cotter (1946) suggests that the hernia is probably more common than is generally thought and that its AT OPERATIoN.-The lump was found to be deep to the intact external oblique and, after incision of this layer, a lobulated mass of fat ( 6 x 4 cm.) was exposed (Fig. ). This proved to be pedunculated, the stalk protruding through a split between the fibres of the internal oblique just lateral to the edge of the rectus muscle. On dissection the mass of fat was found to contain a hernial sac the neck of which passed through an opening in the transversus aponeurosis about I an. in diameter, The sac contained omentum; this was Position of in external FIG. 630,-Operative findings in Cose I. A pedunculated lobulated mass of extraperitoneal fat protrudes through a split in the fibres of the internal oblique.

recognition may be important as an occasional cause of abdominal pain.

During the last two years, 4 cases have been seen personally at University College Hospital. These are reported together with a further case from the surgical records of the hospital.

CASE REPORTS

Case I.-A male greengrocer, aged 61 years, was admitted on July 12, 1953. One year previously he first noticed pain in the left groin and shortly afterwards