The Spieghelian hernia or ventro-lateral hernia is produced through the effect of rupture of the abdominal wall fibers, near the semi lunar line. The hernia sac is usually accompanied by extra peritoneal fatty tissue and is intra parietal, it passes through the aponeurosis of the transverse muscle and internal oblique muscle, and it grows under the aponeurosis of the external oblique muscle. The Spiegel hernia is rare and is difficult to diagnose clinically. In this article we present the case of a 43-year-old patient who presented at the emergency department for a pseudo-tumor mass in the left flank and was diagnosed with Spiegel hernia.
Key words: Spiegel hernia, ventral hernia, rare hernia.
Spiegel hernia represents a rare clinic diagnosis. Diagnosis of Spighelian hernia represents a more difficult issue than its treatment. The clinical findings vary according to the content of the hernia and to its reducibility. A Richter variety (a lateral small bowel incarceration) is often present. Large, easily palpable hernias or those with clinical findings of occlusion are not a diagnostic problem, but small, reducible and intermittent ones are hard to find out. Computed tomography (CT) scan often remains the elective method of diagnosis.