Twisted parietal peritoneal lipomatous appendage incarcerated in a linea arcuata hernia: Imaging findings

Verlynde, Guillaume; Coulier, B; Rubay, R.

doi:10.1016/j.diii.2015.09.008

Cited by 5 publications

(3 citation statements)

References 2 publications

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“…An open exploratory procedure also risks unnecessarily weakening the rectus sheath and abdominal wall muscle, enlarging the defect and even resulting in an incisional hernia. Seven cases have been successfully repaired laparoscopically, five reinforced with preperitoneal mesh and one with underlay mesh [3,4]. A laparoscopic approach carries the advantage of confirming a diagnosis and allows fixation without the need to perform a laparotomy.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Repair of a Rare Abdominal Wall Deformity and Review of the Literature

Sayers

Laliotis²

2021

Cureus

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Linea arcuate herniae (LAH) are rare and usually asymptomatic but can present with generalized abdominal pain in the absence of bulging and are impalpable. Diagnosis is dependent on cross-sectional imaging, and operative approach to their management is debatable. Here, we report the case of a 56-year-old female with abdominal pain diagnosed with a linea arcuate hernia by computed tomography (CT) scan. She went on to have laparoscopic primary suture closure of the hernial defect with reinforcing underlay mesh. LAH are effectively elucidated with CT. Although there are concerns regarding mesh-related complications, we advocate a laparoscopic approach and repair with prosthetic mesh reinforcement, fixated with sutures. Long-term follow-up of these patients is still required.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Repair of a Rare Abdominal Wall Deformity and Review of the Literature

Sayers

Laliotis²

2021

Cureus

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“…Three cases occurred after abdominal surgery and were diagnosed as incisional hernias, but were diagnosed as ALH intraoperatively [ 4 , 15 , 16 ]. As previously mentioned, ALH is considered less likely to cause symptoms because of the wide hernia orifice; however, there have been cases of emergency surgery owing to incarceration [ 6 , 9 , 13 ]. Although ALH is a rare and little-known disease, these cases suggest that surgeons should be aware of the condition.…”

Section: Discussionmentioning

confidence: 99%

Single-incision laparoscopic repair for an arcuate line hernia: a case report

Fukunaga

Kasanami

2021

surg case rep

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Background The arcuate line is the inferior margin of the posterior layer of rectus abdominis sheath. An arcuate line hernia is a parietal interstitial hernia consisting of ascending protrusion of intraperitoneal contents above the arcuate line. Arcuate line hernias are rare, and fewer than 20 cases undergoing surgical repair have been reported. Various surgical approaches were used in previous cases, and there is no consensus regarding the ideal repair method. We report the first case of an arcuate line hernia repaired using single-incision laparoscopic surgery. Case presentation The patient was a 78-year-old man who presented with a history of intermittent lower abdominal quadrant pain of more than 2 month’s duration. He had not previously undergone abdominal surgery, but had a history of mycobacterial lung disease and asthma. His vital signs were normal on presentation, and he experienced no vomiting or nausea. On palpation, his abdomen was flat and soft, and no mass was palpable. However, there was slight tenderness in the right lower quadrant. Blood laboratory test results were within normal ranges. Computed tomography revealed small bowel protrusion between the rectus abdominis and the posterior rectus sheath, and an arcuate line hernia was suspected and subsequently confirmed intraoperatively. The patient underwent single-incision laparoscopic repair with the intraperitoneal onlay mesh technique with tacks and with care to avoid the inferior epigastric vessels. The operation time was 30 min, and no intra- or post-operative complications occurred. Surgery relieved his symptoms, with no recurrence within 1 year postoperatively. Conclusions Single-incision laparoscopic surgery was performed easily and successfully in this rare patient with arcuate line hernia. Arcuate line hernia should be considered in patients presenting with abdominal symptoms, and single-incision laparoscopic repair should be considered for repair.

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“…Se ha reportado tanto de forma aislada como bilateral, o en asociación a otras hernias de la pared abdominal. También hay algunos casos en los cuales se ha presentado como una hernia complicada 3 , por estrangulamiento de asas intestinales.…”

Section: Introductionunclassified

Hernia de la linea arcuata, una patologia poco difundida.

Gámez del Mauro,

Carrasco Toledo,

Rappoport Stramwasser

2024

Rev Cir.

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La hernia de la línea arcuata (HLA), es una entidad claramente reconocida, sin embargo, existen escasas publicaciones al respecto. Corresponde a un defecto en la vaina posterior del músculo recto del abdomen, separándose la línea arcuata del musculo, formando un bolsillo, lo que corresponde a un defecto interparietal y no una verdadera hernia. Probablemente este subdiagnosticado y sub reportado. Su relevancia es que puede constituir una parte relevante de las consultas en servicio de urgencia por dolor abdominal sin etiología demostrada1. El diagnóstico debe sospecharse ante la presencia de dolor abdominal de tipo orgánico, sin otra etiología demostrada. Se confirma con imágenes, especialmente la tomografía computada. El tratamiento, apoyándose en lo reportado en la literatura, sugiere que la vía laparoscópica, sería de elección.A continuación, analizamos la anatomía de la linea arcuata, la presentación clínica de esta afección, sus hallazgos imagenológicos, quirúrgicos, y las diferentes alternativas de tratamiento que se han propuesto en la literatura.

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Twisted parietal peritoneal lipomatous appendage incarcerated in a linea arcuata hernia: Imaging findings

Cited by 5 publications

References 2 publications

Laparoscopic Repair of a Rare Abdominal Wall Deformity and Review of the Literature

Laparoscopic Repair of a Rare Abdominal Wall Deformity and Review of the Literature

Single-incision laparoscopic repair for an arcuate line hernia: a case report

Hernia de la linea arcuata, una patologia poco difundida.

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