Spieghel's hernia
| Classification according to ICD-10 | |
|---|---|
| K43 | Ventral hernia (epigastric, scar) |
| ICD-10 online (WHO version 2019) | |
The Spieghel hernia (Latin hernia spiegheli , hernia linea semilunaris or hernia ventralis lateralis ) is a hernia (abdominal wall rupture) that extends into the abdominal wall in the area of the posterior leaf of the rectus sheath ( linea semilunaris ) . It is named after the Flemish anatomist Adriaan van den Spieghel (1578-1625)
anatomy
Breakthrough of abdominal contents through the abdominal wall. The hernial orifice lies between the fascia of the M. transversus abdominis or M. obliquus internus (lateral edge) and the rectus sheath (medial edge). The lateral edge is called the Linea semilunaris Spiegheli because it has a crescent-shaped contour. Most often the hernias emerge at the level of the arcuate line .
Entrapment of the intestinal contents ( incarceration ) is often the danger with this very rare hernia. In order to prevent an intestinal obstruction ( ileus ) with the following intestinal necrosis , rapid surgical treatment is necessary.
clinic
The symptoms are pulling pain on the affected side of the lower abdomen.
Small Spieghel hernias are not always palpable in the clinical examination; in addition, the diagnosis can be made difficult by obesity ( adiposity ). Sonography (ultrasound examination) and, if necessary, computer or magnetic resonance tomography secure the diagnosis.
The therapy consists of the exposure and removal of the hernial sac with reconstruction of the abdominal wall. The gap is closed by a suture of the aponeurosis .
literature
- A. Prokop, M. Gawenda and M. Walter: The Spieghel hernia - a rare cause of an acute abdomen. Langenbeck's Archives of Surgery, V. 377 No. 2, Springer-Verlag, Berlin - Heidelberg March 1992, ISSN 1435-2443 / ISSN 1435-2451 ; here online
