Post-traumatic strangulated Spiegel's hernia: A Clinical case and review of the literature

doi:10.38207/jmcrcs/2021/0215235

Abstract

Highlights

Post-traumatic hernia (HPT) of the abdominal wall is a rare entity, defined by the protrusion of an organ, or pre-peritoneal fat through an acquired defect of the musculoaponeurotic wall following a trauma, without the notion of pre-existing hernia. [1] The first case was described by Shelby in 1906 and since around 250 cases have been published [2]
The abdominal wound was nonpenetrating, the small intestine was dilated upstream of a loop incarcerated at the level of a left spiegel hernia, which was released with good vitality. (Figure 2) The hernial orifice was closed with Vicryl 1.0 stitches
The first case of post-traumatic spiegel hernia dates back to the year 1933 described by Brandtner [5] and since a few cases have been reported [Table 1]

Summary

Introduction

Post-traumatic hernia (HPT) of the abdominal wall is a rare entity, defined by the protrusion of an organ, or pre-peritoneal fat through an acquired defect of the musculoaponeurotic wall following a trauma, without the notion of pre-existing hernia. [1] The first case was described by Shelby in 1906 and since around 250 cases have been published [2]. Post-traumatic hernia (HPT) of the abdominal wall is a rare entity, defined by the protrusion of an organ, or pre-peritoneal fat through an acquired defect of the musculoaponeurotic wall following a trauma, without the notion of pre-existing hernia. We report the case of a 27-year-old patient with no pathological history who consulted in the emergency room following a stabbing attack. He was stabbed in his abdomen as a result of a fight. Faced with the installation of an abdominal defense at the level of the left half-abdomen, it was decided to operate on the patient via the midline. The abdominal wound was nonpenetrating, the small intestine was dilated upstream of a loop incarcerated at the level of a left spiegel hernia, which was released with good vitality.

Discussion

Conclusion