Traumatic Spigelian hernia in a child

Spigelian hernia is an uncommon surgical condition in children and accounts for only 1% of all abdominal hernias. Its traumatic origin has been described sporadically in the literature.We report a case of a 9-year-old boy, brought to the emergency department 2 hours after abdominal trauma caused by...

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Autores principales:	Fatma Thamri, Senda Houidi, Arije Zouaoui, Bochra Aziza, Yasmine Houas, Yosra Kerkeni, Sondes Sahli, Riadh Jouini
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Abdominal pain Spigelian hernia Children Abdominal trauma Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/c42739ba8e104c189d67de95cc018a9c
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spelling	oai:doaj.org-article:c42739ba8e104c189d67de95cc018a9c2021-11-24T04:30:20ZTraumatic Spigelian hernia in a child2213-576610.1016/j.epsc.2021.102099https://doaj.org/article/c42739ba8e104c189d67de95cc018a9c2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213576621003201https://doaj.org/toc/2213-5766Spigelian hernia is an uncommon surgical condition in children and accounts for only 1% of all abdominal hernias. Its traumatic origin has been described sporadically in the literature.We report a case of a 9-year-old boy, brought to the emergency department 2 hours after abdominal trauma caused by a bicycle's handlebar grip at the lower abdomen, complaining of abdominal pain. Apart from edema, bruising and tenderness of the right of lower abdomen, physical examination showed a 1.5 * 2 cm reducible swelling lateral to the rectus muscle and a 1-cm facial defect of the anterior abdominal wall at the same site. Ultrasonography concluded to diastasis between the rectus abdominis muscle and the broad abdominal muscles with evidence of a hernia sac. The diagnosis of traumatic Spigelian hernia was retained and the patient was operated on. He had primary repair of the defect in layers using interrupted sutures. He was discharged in the same day and the aftermath of surgery was uneventful.In conclusion, traumatic Spigelian hernias are rare entities in children which diagnosis should be considered following blunt abdominal trauma. We recommend careful abdominal examination after trauma to highlight swelling and/or aponeurotic defect.Fatma ThamriSenda HouidiArije ZouaouiBochra AzizaYasmine HouasYosra KerkeniSondes SahliRiadh JouiniElsevierarticleAbdominal painSpigelian herniaChildrenAbdominal traumaPediatricsRJ1-570SurgeryRD1-811ENJournal of Pediatric Surgery Case Reports, Vol 75, Iss , Pp 102099- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Abdominal pain Spigelian hernia Children Abdominal trauma Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	Abdominal pain Spigelian hernia Children Abdominal trauma Pediatrics RJ1-570 Surgery RD1-811 Fatma Thamri Senda Houidi Arije Zouaoui Bochra Aziza Yasmine Houas Yosra Kerkeni Sondes Sahli Riadh Jouini Traumatic Spigelian hernia in a child
description	Spigelian hernia is an uncommon surgical condition in children and accounts for only 1% of all abdominal hernias. Its traumatic origin has been described sporadically in the literature.We report a case of a 9-year-old boy, brought to the emergency department 2 hours after abdominal trauma caused by a bicycle's handlebar grip at the lower abdomen, complaining of abdominal pain. Apart from edema, bruising and tenderness of the right of lower abdomen, physical examination showed a 1.5 * 2 cm reducible swelling lateral to the rectus muscle and a 1-cm facial defect of the anterior abdominal wall at the same site. Ultrasonography concluded to diastasis between the rectus abdominis muscle and the broad abdominal muscles with evidence of a hernia sac. The diagnosis of traumatic Spigelian hernia was retained and the patient was operated on. He had primary repair of the defect in layers using interrupted sutures. He was discharged in the same day and the aftermath of surgery was uneventful.In conclusion, traumatic Spigelian hernias are rare entities in children which diagnosis should be considered following blunt abdominal trauma. We recommend careful abdominal examination after trauma to highlight swelling and/or aponeurotic defect.
format	article
author	Fatma Thamri Senda Houidi Arije Zouaoui Bochra Aziza Yasmine Houas Yosra Kerkeni Sondes Sahli Riadh Jouini
author_facet	Fatma Thamri Senda Houidi Arije Zouaoui Bochra Aziza Yasmine Houas Yosra Kerkeni Sondes Sahli Riadh Jouini
author_sort	Fatma Thamri
title	Traumatic Spigelian hernia in a child
title_short	Traumatic Spigelian hernia in a child
title_full	Traumatic Spigelian hernia in a child
title_fullStr	Traumatic Spigelian hernia in a child
title_full_unstemmed	Traumatic Spigelian hernia in a child
title_sort	traumatic spigelian hernia in a child
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/c42739ba8e104c189d67de95cc018a9c
work_keys_str_mv	AT fatmathamri traumaticspigelianherniainachild AT sendahouidi traumaticspigelianherniainachild AT arijezouaoui traumaticspigelianherniainachild AT bochraaziza traumaticspigelianherniainachild AT yasminehouas traumaticspigelianherniainachild AT yosrakerkeni traumaticspigelianherniainachild AT sondessahli traumaticspigelianherniainachild AT riadhjouini traumaticspigelianherniainachild
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Traumatic Spigelian hernia in a child

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