Ｓｐｉｇｅｌヘルニアの１例

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  • A Case Report of Spigelian Hernia.

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Spigelian hernia is an uncommon abdominal wall hernia. A 65-year-old woman was admitted into our hospital with complaints of recurrent swelling and pain in the right lower quadrant for the past seven years. The abdominal findings showed an 8×10cm fist-sized tender mass in the r ight lower quadrant. The hernia orifice was limited to the Spigelian aponeurosis. At surgery, a hernia sac was found under the thin external abdominis oblique aponeurosis. The sac contained omentum. The hernial orifive was 3×4cm in diameter. Only eight cases including this one have been reported in Japan, because of the dificult diagnosis of a small hernia and only a limited knowledge of this disease.

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