Timely computed tomography scan diagnoses spigelian hernia: a case study

Abstract

A 55-year-old female radiographer presented to the emergency department with acute onset of severe right iliac fossa pain. There had been a history of intermittent similar pain over the preceding 6 months, and she had been previously admitted to hospital with no cause found. There were no significant co-morbidities other than obesity. On this occasion, she was at work in the hospital when the pain began, and she was expediently transferred to the accident and emergency department. She was found to be tender in the right iliac fossa with guarding but no obvious mass was palpable. Inflammatory markers and plain abdominal X-ray were unremarkable. An urgent abdominal computed tomography (CT) scan was performed during which her pain resolved; by the time of surgical review 1 h later, she was pain-free with no clinical signs evident.The CT scan demonstrated an incarcerated spigelian hernia containing small bowel (Fig. 1). This had Timely computed tomography scan diagnoses spigelian hernia: a case study

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