Ann Surg Treat Res.  2015 Feb;88(2):111-113. 10.4174/astr.2015.88.2.111.

A rare nonincisional lateral abdominal wall hernia

• Kim DJ
• Park JW

• KMID: 1804129
• DOI: http://doi.org/10.4174/astr.2015.88.2.111

Abstract

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.

Keyword

Ventral hernia; Laparoscopy

MeSH Terms

Abdominal Wall*
Aged
Chungcheongbuk-do
Cough
Female
Follow-Up Studies
Hernia*
Hernia, Ventral
Humans
Inflammation
Inlays
Laparoscopy
Recurrence
Tomography, X-Ray Computed

Figure

• 

  Fig. 1 Radiologic findings of lateral abdominal wall defect. Abdominopelvic CT scan showed omental fat herniation through lateral abdominal wall defect of transversus abdominis muscle and internal oblique muscle (A) at right flank just below costal margin (B).

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  Fig. 2 Laparoscopic view of lateral abdominal wall defect. Laparoscopic exploration of abdomen revealed omental herniation through lateral abdominal wall defect measuring 6.5 cm × 6 cm. Peritoneal lining of hernia sac was smooth and there was no evidence of inflammation or adhesion. L, liver; C, costal margin; H, hernia sac.

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