LEFT LOWER QUADRANT ACUTE ABDOMINAL PAIN: A CASE OF SPIGELIAN HERNIA , A RARE DIAGNOSIS BY EMERGENCY ULTRASOUND

Rakesh Kumar Gupta, Vipin Bhatia, Parveen Rani Gupta

Abstract


Spigelian hernia is rare and its diagnosis is often challenging. The diagnosis of spigelian hernia presents greater difficulties than its treatment. The clinical presentation varies, depending on the contents of the hernial sac and the degree and type of herniation. The pain, which is the most common symptom, varies and there is no typical pain of spigelian hernia. We report a case of Spigelian hernia in which emergency ultrasonography diagnosed correctly a Spigelian hernia, which was later confirmed at surgery. In our opinion, ultrasonography can be an important tool for emergency physicians in cases of abdominal pain or abdominal mass. Ke yw ords : Spigelian Hernia, Ultrasound.

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