Intestinal Obstruction Secondary to Strangulated Spigelian Hernia: A Rare Entity
https://doi.org/10.58531/ijmhr/1/1/4
Spigelian hernia represents 0.1 to 2% of abdominal wall hernias; It is a defect in the aponeurosis of the transverse and oblique abdominal muscles between the lateral border of the rectus abdominis sheath and the semilunar line. CLINICAL CASE. A 43-year-old male with morbid obesity, type 2 Diabetes Mellitus, and Systemic Arterial Hypertension. He started suffering from abdominal pain of more than 36 hours of evolution, nausea and vomiting of gastro biliary content, and a fever of 38.7 ° C; found a painful tumor, which indicated a Computed Axial Tomography, which reported intestinal obstruction and hernial defect of the abdominal wall. Indicated Exploratory Laparotomy. Made a supra and infra umbilical incision in the previous scar. It is dissected by planes, finding a three cm hernial defect in the upper vertex of the previous scar with a fibrous sac, adhesions, and transverse colon content without vascular compromise and reduced content. Subsequently, we proceeded to identify a right paramedian ventral hernia with a six cm defect without being able to reduce the hernial sac along the midline, for which is made a right transverse incision; dissected by planes, identifying hernial sac with necrotic, fetid, non-perforated small intestine contents, performed adhesiolysis, reduced the defect, and performed a 150 cm ileum resection with stump closure; washed the cavity, the stoma was exteriorized and matured, and it was closed in layers. DISCUSSION. Spigelian hernia is a rare differential diagnosis of abdominal pain. This type of hernia mainly affects women over the fifth decade of life, with a higher incidence on the left side, generally with comorbidities that lead to increased intra-abdominal pressure or weakened abdominal fascia, such as COPD, cirrhosis, obesity, and pregnancy.
Spigelian hernia; Incarceration; sigmoid colon; General surgery; Hernia surgery
Rodríguez-Sosa S.H., Nogueira-Echeverría A.E., Rubio-Zapata H.A., Cruz-Mendez A.T., Rodríguez-Herrera C.J., Vidales-López R.A., Pat-Cruz F.J., Sollano-Shivy S.D., Padrón-Arredondo G. Intestinal Obstruction Secondary to Strangulated Spigelian Hernia: A Rare Entity. Int. J. Med. Healthc. Res., 2023, 1(1), doi: 10.58531/ijmhr/1/1/4
Research progress on the impact of exercise intervention on sleep disorders in children with autism
https://doi.org/10.58531/ijmhr/2/4/3
Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that emerges in early childhood. Sleep disorders are a common comorbidity among children and adolescents with ASD, which can exacerbate the core symptoms of the disorder and impact the growth and development of affected individuals. As a sa... Read more.
Research progress on the current status of and interventions for psychological abuse and neglect in childhood
https://doi.org/10.58531/ijmhr/2/4/2
Childhood neglect, as a common risk factor in the process of individual growth, has many adverse consequences, and it is also a hot topic of research in recent years. This article reviews the relevant research on childhood neglect at home and abroad, su... Read more.
Family Resilience in Maintenance Haemodialysis Patients: A Study on Disadvantaged Children
https://doi.org/10.58531/ijmhr/2/4/1
This paper introduced the concept of family resilience, related assessment tools, summarized the influencing factors of family resilience in maintenanc... Read more.
Therapeutic Communication: A Study of Core Application and Impact on Patients in Nursing Services
https://doi.org/10.58531/ijmhr/2/3/1
The purpose of this paper is to discuss the use of therapeutic communication in nursing. Therapeutic communication is an important nursing skill designed to establish and maintain a positive, supportive relationship with patients. This paper introduces the basic concepts of therapeutic communication, assessment tools, and discusses the skills and strategies used in nursing... Read more.
Assessment of Quality of Life in COVID-19 Long-Haulers and Strategies for Improvement
https://doi.org/10.58531/ijmhr/1/2/1
This study focuses on evaluating the quality of life among individuals experiencing long-term effects of COVID-19, often referred to as "long-haulers." The research employs a multidimensional approach, utilizing established tools and metrics to comprehensively assess various facets of quality of life. A... Read more.
Seroprevalence and Molecular Characterization of Human Immunodeficiency Virus and Hepatitis C Virus Among School Children in Asokoro Village Abuja, Nigeria
https://doi.org/10.58531/ijmhr/1/2/2
Human immunodeficiency virus (HIV) suppresses host immunity and can therefore predispose to opportunistic and other infections, including HCV infection. HIV and HCV have emerged as one of the most formidable challenges to public health. Children in rural communities are exposed to the risk of these viral in... Read more.
International Journal of Medical and Healthcare Research
https://doi.org/10.58531/ijmhr/1/1/2
Intestinal Occlusion due to a Giant Pedunculated Ventral Hernia: Clinical Case
https://doi.org/10.58531/ijmhr/1/1/5
INTRODUCTION. Acute intestinal obstruction occurs when the forward flow of intestinal contents is interrupted or impaired by a mechanical cause. Its incidence in emergency department patients at 2 to 8% is estimated. Although the morbidity and mortality associated with acute intestinal obstruction have dec... Read more.
Intestinal Obstruction Secondary to Strangulated Spigelian Hernia: A Rare Entity
https://doi.org/10.58531/ijmhr/1/1/4
Spigelian hernia represents 0.1 to 2% of abdominal wall hernias; It is a defect in the aponeurosis of the transverse and oblique abdominal muscles between the lateral border of the rectus abdominis sheath and the semilunar line. CLINICAL CASE. A 43-year-old male with morbid obesity, type 2 Diabetes Melli... Read more.
Deltoid Hibernoma of Atypical Presentation: Clinical Case
https://doi.org/10.58531/ijmhr/1/1/3
INTRODUCTION. Hibernoma, a benign tumor of brown fat, first described as “pseudolipoma” by Merkel (1906), was named “hibernoma” by Gery (1914) due to its morphological resemblance to brown fat observed in hibernating animals. They are uncommon, accounting for<2% of benign lipomatous tumors and 1% of all adipocytic tumors. CLINICAL CASE. Soft ... Read more.
Advancing Healthcare and Research: Introducing the International Journal of Medical and Healthcare Research
https://doi.org/10.58531/ijmh/1/1/1
