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American Journal of Medical Case Reports. 2020, 8(12), 528-531
DOI: 10.12691/AJMCR-8-12-26
Case Report

Rare Case of Incarcerated Bilateral Spigelian Hernia in Ghana: A Case Report and Literature Review

Anwar Sadat Seidu1, 2, , Edwin Mwintiereh Ta-ang Yenli1, 2, Mohammed Sheriff1, 2, Musah Yakubu1, Abubakari Bawah Abdulai3, 4, Emmanuel Akorli3 and Patricia Akorli3

1Department of Surgery, Tamale Teaching Hospital, Box TL 16, Tamale, Ghana

2Department of Surgery; School of Medicine and Health Sciences, University for Development Studies, Box TL 1350, Tamale, Ghana

3Department of Radiology, Tamale Teaching Hospital, Tamale, Ghana

4Department of Radiology, School of Medicine and Health Sciences, University for Development Studies, Box TL 1350, Tamale, Ghana

Pub. Date: September 28, 2020
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Cite this paper

Anwar Sadat Seidu, Edwin Mwintiereh Ta-ang Yenli, Mohammed Sheriff, Musah Yakubu, Abubakari Bawah Abdulai, Emmanuel Akorli and Patricia Akorli. Rare Case of Incarcerated Bilateral Spigelian Hernia in Ghana: A Case Report and Literature Review. American Journal of Medical Case Reports. 2020; 8(12):528-531. doi: 10.12691/AJMCR-8-12-26

Abstract

Spigelian hernia is an uncommon form of abdominal wall hernia. The symptoms can be insidious but the commonest are abdominal pain or a lump on the anterior abdominal wall. Diagnosis can be challenging, but the use of ultrasonography and contrast enhanced CT (CECT) scan is essential to avoid diagnostic delays. In view of a high risk of incarceration and strangulation anticipated, urgent operative intervention is necessary. In this case report, a 42-year old multiparous woman presented with bilateral lumps on the abdominal wall and abdominal pain with no symptoms or signs of obstruction or strangulation. The clinical evaluation was suspicious of bilateral spigelian hernia. This was confirmed by CECT scan of abdomen as ultrasonography was inconclusive. This case report illustrates the diagnostic challenges of spigelian hernia and how early operative intervention is crucial to preventing strangulation.

Keywords

bilateral, spigelian hernia, incarcerated, Rare, Ghana

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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