Naslov
Duplex ultrasonography in diagnosis of spigelian hernia with incarcerated jejunal loop

Autori
Buljevac, Mladen ; Grgurević, Ivica ; Lacković, Željko ; Kujundžić, Milan ; Banić, Marko

Izvornik
Acta medica Croatica (1330-0164) 55 (2001); 225-227

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, prikaz slučaja, znanstveni

Ključne riječi
Duplex ultrasonography; intestinal ischemia; spigelian hernia

Sažetak
Spigelian hernia is a very rare anterior abdominal wall hernia with uncharacteristic symptoms and challenging diagnosis. The case of a 76-year-old male patient with colicky pain and vomiting lasting for 24 hours before admission to the hospital is presented. Physical examination of the patient revealed abdominal tenderness and a round-shaped tumefaction of 3 cm in size, located in the left lowerabdominal quadrant. X-ray examination of the abdomen, obtained in left lateral position of the patient, showed small bowel ileus with distended jejunal loops. The abdominal ultrasound examination, followed by duplex ultrasonography, revealed a spigelian hernia with ischemic changes of strangulated bowel segment indicating incarceration of the herniated jejunal loop. Preoperative findings were confirmed by intraoperative diagnosis of spigelian hernia and incarcerated jejunal loop with ischemic changes and deserosation, followed by resection of the bowel segment involved and plastic surgical reconstruction of anterior abdominal wall. This case report highlights the role of duplex ultrasonography in the evaluation of circulatory status of potentially incarcerated bowel segment within hernial sack.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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