An Unusual Case of Left Spigelian Hernia Containing Part of a Fibroid Uterus and the Left Adnexa in a 66-Year-Old Woman

Am J Case Rep. 2019 Nov 8:20:1643-1647. doi: 10.12659/AJCR.917104.

Abstract

BACKGROUND Spigelian hernia, or lateral ventral hernia, is rare and represents between 0.1-2% of all hernias of the abdominal wall. The presentation is variable, and the diagnosis may be challenging. This report is of an unusual case of Spigelian hernia that contained part of a fibroid uterus and the left adnexa. CASE REPORT A 66-year-old woman presented with an abdominal wall mass in the left lower quadrant. On physical examination, a provisional diagnosis of ventral hernia was made. Abdominal computed tomography (CT) imaging showed an unusual Spigelian hernia that contained part of a fibroid uterus and the left adnexa. Treatment using laparoscopic hysterectomy, left salpingo-oophorectomy, and hernia repair was successfully performed jointly by a general surgeon and a gynecologist. CONCLUSIONS To the best of our knowledge, the is the first reported case of Spigelian hernia that contained part of the uterus and the left adnexa.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Wall / surgery
  • Adnexa Uteri / diagnostic imaging*
  • Adnexa Uteri / surgery*
  • Aged
  • Female
  • Hernia, Ventral / diagnostic imaging*
  • Hernia, Ventral / pathology*
  • Hernia, Ventral / surgery*
  • Herniorrhaphy
  • Humans
  • Hysterectomy
  • Laparoscopy
  • Leiomyoma / diagnostic imaging*
  • Leiomyoma / surgery*
  • Multidetector Computed Tomography
  • Salpingo-oophorectomy