Evidence map›Paper›PMID 31585321›Full record

ArticleInternational journal of surgery case reports2019

Giant Spigelian Hernia presenting as small bowel obstruction: Case report and review of literature.

Marino Di Furia, Lucia Romano, Andrea Salvatorelli, Denise Brandolin, Gianni Lazzarin, Mario Schietroma, Francesco Carlei, Antonio Giuliani

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of surgery case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Marino Di FuriaDepartment of General Surgery, Hospital San Salvatore L'Aquila, University of L'Aquila, Italy. Electronic address: marinodifuria@gmail.com.
Lucia RomanoDepartment of General Surgery, Hospital San Salvatore L'Aquila, University of L'Aquila, Italy.
Andrea SalvatorelliDepartment of General Surgery, Hospital San Salvatore L'Aquila, University of L'Aquila, Italy.
Denise BrandolinDepartment of General Surgery, Hospital San Salvatore L'Aquila, University of L'Aquila, Italy.
Gianni LazzarinDepartment of General Surgery, Hospital San Salvatore L'Aquila, University of L'Aquila, Italy.
Mario SchietromaDepartment of General Surgery, Hospital San Salvatore L'Aquila, University of L'Aquila, Italy.
Francesco CarleiDepartment of General Surgery, Hospital San Salvatore L'Aquila, University of L'Aquila, Italy.
Antonio GiulianiDepartment of General Surgery, Hospital San Salvatore L'Aquila, University of L'Aquila, Italy.
San Salvatore Hospital · ITUniversity of L'Aquila · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSpigelian Hernia is an uncommon pathology of abdominal wall (0.12-2.4%), usually small sized and with vague symptoms. It rarely presents as Small Bowel Obstruction or reaches dimensions that becomes clinically remarkable. PRESENTATION OF CASE: 84-year-old woman entered our Surgical Department for Small Bowel Obstruction due to a giant (8 × 7 cm) abdominal wall hernia, which was intraoperatively identified as Spigelian Hernia. We performed a minilaparotomy with reduction of viable small bowel and preperitoneal positioning of polypropilene mesh. Postoperative course was uneventfull. DISCUSSION: Due to its small dimensions and infrequence, the diagnosis could be challenging even if the patient undergoes a CT scan. The presentation with clear signs of small bowel obstruction associated with a large abdominal hernia is rare and suggests a urgent surgical approach with mesh repair to avoid recurrences.

conclusionEven if rarely symptomatic, the Spigelian Hernia is an entity to consider in the differential diagnosis of small bowel obstruction in a virgin abdomen. Preoperative diagnosis, when available, is mandatory to guide a correct surgical approach.

Indexed as

Mesh repairSmall bowel obstructionSpigelian Hernia

Identifiers

PMID31585321
PMCPMC6796652
OpenAlexW2976721174

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.