Right lower quadrant abdominal pain due to appendicitis and an incarcerated spigelian hernia
Lin, P.H.; Koffron, A.J.; Heilizer, T.J.; Lujan, H.J.
American Surgeon 66(8): 725-727
2000
ISSN/ISBN: 0003-1348 PMID: 10966026 Document Number: 519596
Spigelian hernias are uncommon and difficult to diagnose because of their location in the aponeurosis in the anterior abdominal wall. When they occur on the right side, the symptoms can include nonspecific abdominal pain mimicking appendicitis. We present an adult with right lower quadrant abdominal pain due to an incarcerated spigelian hernia and acute appendicitis. Early recognition and prompt surgical treatment were important to the successful treatment of our patient.