case_images: PMC3350014_01
case_images: (a) Area of tenderness marked out on the abdominal wall prior to induction of anaesthesia. (b) Laparoscopic view of the Spigelian hernia.
case_images: CRIM.SURGERY2011-491802.001.jpg
case_images: PMC3350014_01_CRIM.SURGERY2011-491802.001.jpg
case_images: fig1
case_images: Prior to the induction of anaesthesia, the patient's abdomen was palpated and the area of maximal focal tenderness and the fullness was outlined with a marking pen (Figure 1(a)). Immediately upon entry, a loop of small bowel was seen herniating through a defect in the anterior abdominal wall and this coincided with the area that was marked over the skin (Figure 1(b)).
case_images: (a) The laparoscopic grasper tool demonstrating the slit like "Spigelian defect". (b) The hernia sac (arrow) after laparoscopic reduction of the incarcerated bowel.
case_images: CRIM.SURGERY2011-491802.002.jpg
case_images: PMC3350014_01_CRIM.SURGERY2011-491802.002.jpg
case_images: fig2
case_images: Laparoscopic reduction of bowel was done and a slit-like Spigelian defect about 3 cm by 2 cm was clearly seen (Figures 2(a) and 2(b)).
case_images: The external view of Spigelian hernia sac with (a) and without (b) transillumination with the laparoscope's light source.
case_images: CRIM.SURGERY2011-491802.003.jpg
case_images: PMC3350014_01_CRIM.SURGERY2011-491802.003.jpg
case_images: fig3
case_images: The sac was identified below the arcuate line which illuminated well with the light transmitted from the laparoscope (Figures 3(a) and 3(b)).