Laparoscopic repair of a Spigelian hernia complicated with bowel obstruction and appendicitis

A 69-year-old man presented to the emergency department with a 48-hour history of intestinal obstruction and tumour in the right iliac fossa. CT scan revealed a small bowel obstruction secondary to a Spiegel's hernia, together with an appendix incarcerated within. A laparoscopic approach was decided, performing a hernia reduction together with appendectomy, transabdomino-preperitoneal repair and subsequent small bowel resection through a Pfannenstiel incision.

Funding

No funding was received for this paper.

Conflict of interests

The authors have no conflict of interests to declare.