Tomado de la Revista Espanola de Enfermedades Digestivas
Rev. esp. enferm. dig. v.102 n.10 Madrid oct. 2010
Female patient, 43 years of age under 3 months makes simultaneous umbilical hernia surgeries, and total hysterectomy .. From these events began to complain of occasional sharp pain, located in the region of the right iliac fossa discomfort increases throughout the day and especially being a long standing, the latter situation that is accompanied by small bultoma that protrudes in the area. Physical examination is not very revealing even though the patient points a finger the exact point of the problem. The sonographic examination shows saccular an-echogenic area representing a peritoneal hernia sac, containing no bowel or other bag, clearly shows the ring and the bag is introduced through the posterior rectus fascia anterior muscle, measures approx 0.67 X 0,41cm. The image does not undergo significant changes with the Valsalva maneuver and standing examination, the image disappears. It concludes with the diagnosis of Spiegel's hernia.
Taken from the Spanish Journal of Gastroenterology
Rev. esp. Digestive Disease V.102 n.10 Madrid oct. 2010
Spiegel's hernia (HS) was named after the French anatomist Adrian van Spiegel, who described the semilunar line for the first time in 1645, however was later Klinkosch which described a spontaneous lateral ventral hernia located on the semilunar line Spiegel in 1764 is an uncommon variety of abdominal wall defect. Accounts for 0.1-2% of all hernias occur abdominal.It weakness Spiegel's fascia or spiegeliana, located between the semilunar line and the lateral border of the muscle rectum.although cases have been reported related to congenital muscular defects most are acquired and are considered risk factors for obesity, COPD, presence of other hernias and abdominal injuries can be difficult to detect during scanning because the hernia sac is under the aponeurosis of the oblique mayor. Occur more frequently from the fifth decade of life and a discrete female predominance. No significant differences in terms of left or right location in the literature, nor in our study there