PubMed · 14022661
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F CONSOLI, G FASOLINO. 1962-11-05. [Left-sided appendix (incomplete rotation)].. https://pubmed.ncbi.nlm.nih.gov/14022661/
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Spigelian hernia is a rare lateral ventral abdominal hernia. These clinically elusive hernias are treacherous and have a real risk of strangulation. We present a patient with a strangulation of the small bowel and appendix in a right spigelian hernia, which was accurately demonstrated by spiral computerised tomography preoperatively and successfully treated with primary suturing reinforced with polypropylene mesh. With a high index of suspicion and the use of modern radiological technique, these "bewildering" hernias can be diagnosed and repaired relatively safely.
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