The Open Surgery Journal

2011, 5 : 24-26
Published online 2011 July 13. DOI: 10.2174/1874300501105010024
Publisher ID: TOSJ-5-24

Left Spigelian Hernia in Super-Obese Patient: A Case-Report

Duilio Pagano , Gabriel J. Echeverri , Carlo Bartoccelli , Calogero Ricotta , Giuseppe Giuffrida , Michela De Martino , Roberta Cavallin and Salvatore Gruttadauria
Istituto Mediterraneo Trapianti e Terapie ad Alta Specializzazione, University of Pittsburgh Medical Center in Italy, Via E. Tricomi, 1 90127 Palermo, Italy.

ABSTRACT

We report a case in which a giant Spigelian hernia presented with severe, persistent abdominal pain in a 62-year-old super-obese woman with a history of total abdominal hysterectomy-bilateral salpingo-oopherectomy at the age of 40 years for benign neoplasia, who later underwent open hernia repair (maximal diameter of the hernia sac: 21 cm) because of the development of compartment syndrome. Afterward, although a large incarcerated hernia disease was found, the sac removal was technically difficult and an open procedure was carried out, with double-mesh placement. No complications were recorded during the post-operative course.

We report a difficult issue related to the diagnosis and management of this pathology, underlining the complete surgical repair to avoid hernia recurrence.