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Titre du document / Document title

Hernie de Spiegel grêle étranlée = Strangulated intestinal spigelian herna

Auteur(s) / Author(s)

COULIER B. (1) ; RAMBOUX A. (2) ; MAILLEUX P. (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Service d'lmagerie Médicale, Clinique St-Luc, Bouge (Namur), BELGIQUE
(2) Service de Chirurgie Viscérale, Clinique St-Luc, Bouge (Namur), BELGIQUE

Résumé / Abstract

Spigelian hernia, an uncommon hernia of the anterior abdominal wall, has serious complications in a high percentage of cases. The diagnosis is often difficult because the symptoms can be insidious or simulate those of more classical lower quadrant abdominal diseases. Furthermore, the clinical findings are often nonspecific. We report a case of Spigelian hernia complicated by acute strangulation diagnosed by ultrasound. The anatomic features and the physiopathology are reviewed and illustrated by another typical case diagnosed by CT. CT is superior to sonography in showing the defect of the abdominal wall, in identfying the contents of the hernial sac and in discovering abnormalities in other areas of the abdomen. Sonography also generally appears adequate in showing a parietal defect. We therefore recommend systematic ultrasonographic examination of the abdominal wall in all doubtful cases of undiagnosed abdominal pain with vague gastro-intestinal symptoms.

Revue / Journal Title

Journal belge de radiologie    ISSN  0021-7646 

Source / Source

1997, vol. 80, no2, pp. 68-70 (4 ref.)

Langue / Language

Anglais

Editeur / Publisher

Société belge de radiologie, Bruxelles, BELGIQUE  (1907-1908) (Revue)

Mots-clés anglais / English Keywords

Spiegel line

;

Strangulated hernia

;

Small intestine

;

Abdominal wall

;

Computerized axial tomography

;

Case study

;

Diagnosis

;

Human

;

Disease of the small intestine

;

Intestinal disease

;

Digestive diseases

;

Radiodiagnosis

;

Medical imagery

;

Mots-clés français / French Keywords

Ligne Spiegel

;

Hernie étranglée

;

Intestin grêle

;

Paroi abdominale

;

Tomodensitométrie

;

Etude cas

;

Diagnostic

;

Homme

;

Intestin grêle pathologie

;

Intestin pathologie

;

Appareil digestif pathologie

;

Radiodiagnostic

;

Imagerie médicale

;

Mots-clés espagnols / Spanish Keywords

Línea Spiegel

;

Hernia estrangulada

;

Intestino delgado

;

Pared abdominal

;

Tomodensitometría

;

Estudio caso

;

Diagnóstico

;

Hombre

;

Intestino delgado patología

;

Intestino patología

;

Aparato digestivo patología

;

Radiodiagnóstico

;

Imageneria medical

;

Localisation / Location

INIST-CNRS, Cote INIST : 4298, 35400006166475.0030

Nº notice refdoc (ud4) : 2698672



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