We present a case of Spigelian hernia in a 77-year-old patient to highlight the difficulty in making this diagnosis and to raise awareness of this rare condition among physicians who care for geriatric patients with chronic bouts of abdominal pain. The patient presented to the emergency department with a two-day complaint of abdominal pain after three years of similar recurrent attacks. Results of the physical examination and computed tomography (CT) of the abdomen were consistent with a left-sided Spigelian hernia. Operative repair was performed using robotic-assisted reduction and the patient recovered without any complications.
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The authors have no financial disclosures to declare and no conflicts of interest to report.
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Wright, Thomas D.; Dayo, Olumayowa; and Goebel, Lynne J.
"Chronic Abdominal Pain In A Geriatric Patient: A Rare Case Of A Spigelian Hernia,"
Marshall Journal of Medicine:
3, Article 13.
Available at: https://mds.marshall.edu/mjm/vol6/iss3/13