ArticleCureus2020
Incarcerated Spigelian Hernias: A Rare Cause of a High-grade Small Bowel Obstruction.
Article in Cureus, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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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.
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Who cites it
6 citing papers in PubMed, 9 citations in OpenAlex.
- Cholecysto-biliary fistula mimicking type 1 Mirizzi syndrome: A case report.World journal of clinical cases · 2025Article
- Article
- Intraperitoneal onlay mesh repair as rescue therapy for recurrent inguinal hernia following robotic transabdominal preperitoneal repair: a case report.Journal of surgical case reports · 2025Article
- Tentacle Mesh for Fixation-Free Spigelian Hernia Repair: Mini-Invasive Approach Granting Broad Defect Overlap.Journal of clinical medicine · 2023Article
- Outcomes After Spigelian Hernia Repair: A Nationwide Database Study.World journal of surgery · 2023Article
- "Bulb-like" sign: Small bowel closed loop obstruction in incarcerated Spigelian hernia.Radiology case reports · 2021Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A Spigelian hernia is a very rare hernia, making up approximately 0.1% of all abdominal wall hernias. This hernia goes through a defect in the Spigelian fascia which is the part of the transversus abdominis aponeurosis lateral to the rectus muscle, often at the level of the arcuate line, where the fascia is widest and weakest. We present the case of a 77-year-old female with no past surgical history who presented to our teaching hospital with high-grade small bowel obstruction secondary to an incarcerated Spigelian hernia. She was taken to the operating room for a laparotomy and a portion of the small bowel mesentery was found to be strangulated. The hernia was reduced, and the defect was repaired primarily. The diagnosis of a Spigelian hernia can often be difficult to diagnose on history and physical examination alone, but computed tomography (CT) imaging can be a valuable adjunct in diagnosis. Prompt surgical treatment should ensue when the diagnosis of high-grade bowel obstruction is made in a patient with imaging findings consistent with a Spigelian hernia.
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Registered trials
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