Richter's hernia through a Spigelian defect of the abdominal wall

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.amjsurg.2006.02.028 Byline: P. Marco Fisichella, Jennifer Harwell, Joseph Brosnan, Herand Abcarian Keywords: Richter's hernia; Spigelian hernia Abstract: A 78-year-old healthy woman with no previous surgeries or history of trauma presented with a painful abdominal mass for 1 day. The computed tomography (CT) scan of the abdomen demonstrated a partial herniation and strangulation of the cecum (Richter's hernia) between the internal and external oblique muscles through the linea semilunaris (Spigelian hernia). The challenging clinical diagnosis of Spigelian hernias and their surgical treatment options are discussed. Author Affiliation: Department of Surgery, University of Illinois at Chicago, 840 S. Wood St., Chicago, IL 60612, USA Article History: Received 28 December 2005; Revised 20 February 2006