ArticleInternational journal of surgery case reports2026
Diagnostic and therapeutic challenges of a bilateral spigelian hernia: A case report with literature review.
Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Spigelian hernia (SH) is an uncommon abdominal wall defect, and its bilateral occurrence is exceptionally rare. Early diagnosis and surgical management are essential to prevent complications. Case presentation: We report the case of a 52-year-old woman presenting with bilateral SH, revealed by painful abdominal wall swelling and symptoms of bowel obstruction. A computed tomography (CT) scan confirmed the diagnosis of bilateral SH. A laparoscopic approach was initially attempted but was converted to open surgery due to significant hypercapnia. The hernias were repaired with a dual-sided mesh, and postoperative recovery was uneventful. Discussion: SH represent only 1-2% of abdominal wall hernias and are often misdiagnosed due to nonspecific clinical signs. CT imaging plays a key role in diagnosis. Surgical repair is the definitive treatment, with the laparoscopic approach offering lower morbidity and a shorter hospital stay. Conclusion: Bilateral SH is an exceptional presentation. Early imaging and prompt surgical intervention are crucial to avoiding strangulation.
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