SPIGELIAN HERNIA IN ADULTS: ABOUT A CASE AT THE MAMAN ELISABETH DOMITIEN UNIVERSITY HOSPITAL CENTER OF BANGUI

Dibert Bekoy Nouganga Emmanuel*, Issa Mapouka Pierre Alfred, Laleye Christel Marie,
Doui Doumgba Antoine and Gaudeuille Alfred

ABSTRACT

Spigelian hernia is a dehiscence of the anterolateral or ventro-lateral wall of the abdomen, through which the digestive loops can pass. It is a rare digestive pathology, which involves a significant risk of strangulation justifying surgical treatment. We report a case in a 52 year old patient with a history of right inguinal hernia repair by raphia who presented a left para rectal swelling, gradually increasing in volume, the clinical diagnosis of a Spiegel hernia was evoked and the patient underwent a hernial cure by plasty of a polypropylene plate. The following operations were simple.

Keywords: Spigelian hernia, diagnosis, surgery, Central African Republic.