PMC6796652_01
CT scan reveal several loops of small bowel introducing into a large defect (3 x 3 cm) on the left lateral abdominal wall, at the level of the iliac crest, and causing a SBO of the upper part.
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Auscultation revealed tympanic movement of bowel (Fig. 1).
Intraoperative view of the hernia sac including several viable small loops and fluid (upper part) and of the abdominal wall showing the defect (Spigelian Hernia).
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Opening the hernia sac, a small amount of clear fluid went out along with 60 cm of ileal loops which was viable and needed no resection (Fig. 2).