EURORAD ESR

Case 10427

Spigelian hernia containing a strangulated appendix

Author(s)
Yuranga Weerakkody (FRANZCR)

SCGH, HMAHS, Radiology; Hospital avenue 6009 Perth, Australia; Email:rachmaninov31@hotmail.com
 
Patient
male, 69 year(s)
 
 
  • Figure 1
    Axial CT images
     

    Axial CT images showing a blind ended loop (appendix) extending towards the right anterior abdominal wall semilunar line with associated fat stranding. There is also some background midline stranding from the recent...

     
    Area of Interest: Abdominal wall; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;

    Axial CT images showing a blind ended loop (appendix) extending towards the right anterior abdominal wall semilunar line with associated fat stranding. There is also some background midline stranding from the recent...

     
    Area of Interest: Abdominal wall; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;

    Axial CT images showing a blind ended loop (appendix) extending towards the right anterior abdominal wall semilunar line with associated fat stranding. There is also some background midline stranding from the recent...

     
    Area of Interest: Abdominal wall; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 2
    Coronal CT images
     

    Coronal CT scans demonstrate an inferiorly projecting appendix into the Spigelian hernial defect with surrounding fat stranding.

     
    Area of Interest: Abdominal wall; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;

    Coronal CT scans demonstrate an inferiorly projecting appendix into the Spigelian hernial defect with surrounding fat stranding.

     
    Area of Interest: Abdominal wall; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;

    Coronal image showing communication of the appendiceal orifice with the caecum (arrowed)

     
    Area of Interest: Abdominal wall; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 3
    Sagittal CT images
     

    Sagittal image demonstrates the tip of a blind ending structure within the patient's Spigelian hernia

     
    Area of Interest: Abdominal wall; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;

    Sagittal image showing the appendix (arrowed) extending towards the caecum.

     
    Area of Interest: Abdominal wall; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;
     
     
Axial CT images showing a blind ended loop (appendix) extending towards the right anterior abdominal wall semilunar line with associated fat stranding. There is also some background midline stranding from the recent mesh repair.
 
Axial CT images showing a blind ended loop (appendix) extending towards the right anterior abdominal wall semilunar line with associated fat stranding. There is also some background midline stranding from the recent mesh repair.
 
Axial CT images showing a blind ended loop (appendix) extending towards the right anterior abdominal wall semilunar line with associated fat stranding. There is also some background midline stranding from the recent mesh repair.
 
Coronal CT scans demonstrate an inferiorly projecting appendix into the Spigelian hernial defect with surrounding fat stranding.
 
Coronal CT scans demonstrate an inferiorly projecting appendix into the Spigelian hernial defect with surrounding fat stranding.
 
Coronal image showing communication of the appendiceal orifice with the caecum (arrowed)
 
Sagittal image demonstrates the tip of a blind ending structure within the patient's Spigelian hernia
 
Sagittal image showing the appendix (arrowed) extending towards the caecum.
 
 
 
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