1. Ann Surg Treat Res. 2015 Feb;88(2):111-3. doi: 10.4174/astr.2015.88.2.111. Epub
2015 Jan 27.
A rare nonincisional lateral abdominal wall hernia.
Kim DJ(1), Park JW(1).
Author information:
(1)Department of Surgery, Chungbuk National University College of Medicine,
Cheongju, Korea.
A 68-year-old woman presented a rare lateral abdominal wall hernia. Three month
before admission to Chungbuk National University Hospital, she found a large
protruding mass measuring 8 cm in diameter in the midaxillary line just below the
costal margin upon heavy coughing. She had no history of abdominal trauma,
infection, or operation previously. The mass was easily reduced manually or by
position change to left lateral decubitus. CT scan showed a defect of the right
transversus abdominis muscle and internal oblique muscle at the right flank with
omental herniation. Its location is different from that of spigelian hernia or
lumbar hernia. The peritoneal lining of the hernia sac was smooth and there was
no evidence of inflammation or adhesion. The hernia was successfully repaired
laparoscopically using Parietex composite mesh with an intraperitoneal onlay mesh
technique. The patient was discharged uneventfully and did not show any evidence
of recurrence at follow-up visits.
PMID: 25692123 [PubMed]