An unusual Spigelian hernia involving the appendix: A case report

Abstract

Introduction: Spigelian herniae are uncommon and frequently pose a diagnostic challenge. Case presentation: We report the case of a 71-year-old man in whom an ischaemic appendix was found within the sac of a Spigelian hernia during emergency repair. Conclusions: There are very few reported cases in which an appendix has been found within a Spigelian hernia, in the absence of inflammatory bowel disease. An awareness of the range of viscera which may be encountered in Spigelian herniae is important for safe repair. © 2010 Thomasset et al.