Case Report

Computed tomographic colonography: Diagnosis of an incarcerated Spigelian hernia

Joel H. Bortz
South African Journal of Radiology | Vol 18, No 1 | a673 | DOI: https://doi.org/10.4102/sajr.v18i1.673 | © 2014 Joel H. Bortz | This work is licensed under CC Attribution 4.0
Submitted: 19 June 2014 | Published: 04 December 2014

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Joel H. Bortz, LSG Imaging, Los Angeles, United States


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Abstract

A 68-year-old obese man underwent computed tomographic colonography (CTC) scanning to investigate worsening constipation and lower abdominal discomfort on his left side.Optical colonoscopy was contraindicated because of his comorbidities. A preliminary CTC diagnosis of incarcerated Spigelian hernia was made, based on lateral deviation of thesigmoid colon to the left as well as extrinsic impressions on it, and the central location of the small bowel. Spigelian hernia is a rare form of anterior abdominal wall hernia. CTC can play a role in its diagnosis.

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