caa a22 4500 60624610X CHVBK 20210128101338.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s12262-014-1085-7 doi (NATIONALLICENCE)springer-10.1007/s12262-014-1085-7 Spigelian Hernia: a Diagnostic Dilemma and Laparoscopic Management [Elektronische Daten] [K. Srivastava, Amit Agarwal] Spigelian hernias, also called as lateral ventral hernias, are rare hernias to present themselves in clinical practice. The significance of these hernias lies in the fact that they are commonly intraparietal hernias and are, hence, difficult to diagnose clinically. Moreover, the neck of these hernias is usually small, posing a fair risk of strangulation. With the advancement in laparoscopic hernia repair, there is evidence that Spigelian hernias too can be repaired laparoscopically, thereby causing less morbidity and shorter hospital stay. Here, we present a rare case of large Spigelian hernia that posed to us as a diagnostic dilemma. The symptoms, clinical findings, and ultrasound of the patient were not specific, and a CT scan had to be used as the measure to confirm the diagnosis. The patient was then managed successfully with laparoscopic intraperitoneal onlay mesh repair. The details of the case and a brief discussion are included. Association of Surgeons of India, 2014 Spigelian hernia nationallicence Lateral ventral hernia nationallicence IPOM nationallicence Laparoscopic hernia repair nationallicence Laparoscopic Spigelian hernia repair nationallicence Srivastava K. Department of General and Minimal Access Surgery, B.L. Kapur Superspeciality Hospital, Pusa Road, 110005, New Delhi, India aut Agarwal Amit Department of General and Minimal Access Surgery, B.L. Kapur Superspeciality Hospital, Pusa Road, 110005, New Delhi, India aut Indian Journal of Surgery Springer India 77(2015-04-01), 35-37 0972-2068 77<35 2015 77 12262 https://doi.org/10.1007/s12262-014-1085-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-014-1085-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Srivastava K. Department of General and Minimal Access Surgery, B.L. Kapur Superspeciality Hospital, Pusa Road, 110005, New Delhi, India aut NATIONALLICENCE 700 1- Agarwal Amit Department of General and Minimal Access Surgery, B.L. Kapur Superspeciality Hospital, Pusa Road, 110005, New Delhi, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-04-01), 35-37 0972-2068 77<35 2015 77 12262