Krzysztof Kaliszewski, Michał Kozakiewicz, Beata Lubieniecka, Jacob Bronowicki, Piotr Szelachowski, Renata Taboła and Marta Strutyńska- Karpińska
Background: A Spigelian Hernia (SH) is an uncommon clinical entity comprising 0.12% to 2% of all the abdominal wall hernias. Usually the symptoms of the hernia are non-specific and therefore a diagnosis based only on the clinical examination is difficult. Imaging studies are particularly useful during the diagnostic process, but sometimes do not give the proper presurgical diagnosis. Case presentation: We present the case of a 77-year-old woman with a suspected tumor of the blind gut, where only a more accurate preoperative examination later enabled the identification of the presence of a SH. Furthermore, during the less conventional classical surgery it was revealed that the appendix, which is an event that rarely occurs, was found incarcerated within the hernia contents. Conclusion: We present the clinical difficulty with diagnosis of SH with incarcerated appendix and the variety of the symptoms. Additionally, we present a brief literature review with a concomitant description of the clinical appearance, diagnostic approach, and treatment options concerning SH.
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