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Epiploic appendage torsed within a spigelian hernia: US and CT findings
Author(s) -
Capaccio Enrico,
Di Vito Lucia,
Derchi Lorenzo E.
Publication year - 2012
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.20872
Subject(s) - spigelian hernia , medicine , appendage , abdominal wall , hernia , anatomy , sigmoid colon , radiology , surgery , rectum
We report the sonographic and CT findings in a patient with an epiploic appendage strangulated within a Spigelian hernia sac. The patient presented with a small, tender, palpable mass, which, at sonography, was located within the abdominal wall, lateral to the rectus abdominis muscle, and had the appearance of an inflamed epiploic appendage. The same findings were confirmed by unenhanced CT. Surgery showed an epiploic appendage of the sigmoid colon within a small Spigelian hernia; the appendage was torsed around its pedicle at the entrance into the hernia sac. © 2011 Wiley Periodicals, Inc. J Clin Ultrasound, 2012