Open AccessSpigelian hernia with Richter-type herniation of the ileum: A rare cause of right iliac fossa pain mimicking acute appendicitis
Author(s) -
Arif Nelliyulla Parambath,
Khairi Hajaji,
Shatha Ali Al Hilil
Publication year - 2012
Publication title -
journal of emergency medicine, trauma and acute care
Language(s) - English
Resource type - Journals
eISSN - 1999-7094
pISSN - 1999-7086
DOI - 10.5339/jemtac.2012.7
Subject(s) - iliac fossa , medicine , spigelian hernia , abdominal pain , acute appendicitis , rare disease , appendicitis , surgery , bowel obstruction , computed tomography , emergency department , hernia , radiology , appendix , disease , paleontology , psychiatry , biology
We report a case of a sixty-two-year-old man who presented to the emergency department with severe right iliac fossa pain. The patient was clinically diagnosed as having acute appendicitis and was referred for an abdominal CT scan. Abdominal CT revealed a Spigelian hernia with Richter-type herniation of the small bowel without any significant bowel obstruction. The patient underwent immediate surgical repair and the postoperative course was uneventful. This is a rare association of two rare conditions mimicking a common disease such as appendicitis