PMC3134703_01
CT Scan image revealing right sided Spigelian hernia.
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F1
It was felt that the patient had a postoperative ileus but with her worsening distention and then nausea and vomiting, a CT scan of the abdomen was obtained that revealed an enlarged Spigelian hernia with a portion of ileum that appeared kinked (Figure 1).
Laparoscopic view of Spigelian hernia defect.
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F2
Intraoperatively, we were able to reduce the hernia and the hernia sac (Figure 2).
PMC3134703_02
Laparoscopic view depicting Spigelian hernia and reduced bowel.
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F3
This loop of bowel was gently reduced, and although the bowel looked bruised, it did not look frankly ischemic or have a perforation (Figures 3, 4).
Laparoscopic view showing contused but viable small bowel, reduced from Spigelian hernia.
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F4
This loop of bowel was gently reduced, and although the bowel looked bruised, it did not look frankly ischemic or have a perforation (Figures 3, 4).
PMC3134703_03