PMC7322101_01
CT Scan showing Spigelian hernia containing the appendix (arrow).
gr1.jpg
PMC7322101_01_gr1.jpg
fig0005
We performed a complete medical work-up and abdominal computed tomography that revealed a spigelian hernia containing the appendix (Fig. 1).
Intact external oblique muscle fascia and intraparietal bulge.
gr2.jpg
PMC7322101_01_gr2.jpg
fig0010
At the operation, an oblique incision was made and after opening the skin and subcutaneous, a bulge just below the fascia of the external oblique was noticed (Fig. 2).
Spigelian hernia containing the appendix.
gr3.jpg
PMC7322101_01_gr3.jpg
fig0015
Opening of the fascia revealed an intraparietal appendix, consistent with spigelian hernia (Fig. 3).
Hernia repair with polypropylene mesh below the external oblique fascia.
gr4.jpg
PMC7322101_01_gr4.jpg
fig0020
Hernia repair was performed with an 8 x 8 cm polypropylene mesh just below the fascia of the external oblique muscle (Fig. 4).