Endometriosis in a spigelian hernia sac: an unexpected finding.

Journal Article (Journal Article)

Describes the existence of endometrioma in a spigelian hernia sac. Spigelian Hernia is a rare ventral hernia, presenting difficulties in diagnosis and carrying a high incarceration and obstruction risk. Endometriomas occur due to implantation of endometrial cells into a surgical wound, most often after a cesarean delivery. A 37-year-old woman presented to our department with persistent abdominal pain, exacerbating during menses, and vomiting for 2 days. Physical examination revealed a mass-like lesion in the border between the left-upper and left-lower quadrant. Ultrasound examination was inconclusive and a computed tomography scan of the abdomen revealed an abdominal wall mass. During surgery, a spigelian hernia was found 5 to 7 cm above a previous cesarean incision. Tissue like "chocolate cysts" was present at the hernia sac. Hernia was repaired while tissue was excised and sent for histological examination that confirmed the diagnosis. Spigelian hernia is a hernia presenting difficulties in diagnosis and treatment. Endometrioma in a spigelian hernia sac is a rare diagnosis, confirmed only histologically. Clinical suspicion can be posed only through symptoms and thorough investigation.

Full Text

Duke Authors

Cited Authors

  • Moris, D; Michalinos, A; Vernadakis, S

Published Date

  • January 2015

Published In

Volume / Issue

  • 100 / 1

Start / End Page

  • 109 - 111

PubMed ID

  • 25594648

Pubmed Central ID

  • PMC4301273

Electronic International Standard Serial Number (EISSN)

  • 2520-2456

International Standard Serial Number (ISSN)

  • 0020-8868

Digital Object Identifier (DOI)

  • 10.9738/intsurg-d-13-00245.1


  • eng