PMC7103749_01
(A) Direct abdominal x-ray at a standing position. (B) Appearance of the incarcerated intestinal loop on Abdominal CT.
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F1
There was no sign of levelling in the direct abdominal X-ray at a standing position (Fig. 1A). Abdominal CT identified intestinal loops protruding from the left front wall of the abdomen due to the current defect (Fig. 1B).
(A) Visual contact with the sigmoid colon, which forms the content of the hernia sac that has protruded due to the defect on the Spiegel fascia. (B) Reinforcement with polypropylene mesh following primary defect repair.
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F2
The hernia sac was accessed with a left pararectal incision (Fig. 2A). The repair was reinforced with polypropylene mesh (Fig. 2B).