{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T00:34:16Z","timestamp":1793406856016,"version":"4.5.0"},"reference-count":32,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T00:00:00Z","timestamp":1716768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Spigelian hernias are rare, constituting about 1-2 % of all abdominal wall hernias. They present clinically significant challenges due to their potential for incarceration and strangulation. This case report highlights a unique presentation of a Spigelian hernia involving sigmoid colon strangulation, emphasizing the critical need for awareness and timely intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 60-year-old female with hypertension and diabetes presented with severe left abdominal pain, nausea, and vomiting. Examination revealed leukocytosis, neutrophilia, and signs of acute abdomen. CT imaging showed a complicated left lateral abdominal wall hernia containing the sigmoid colon. Surgical intervention included sigmoidectomy with colorectal anastomosis and hernia repair. Postoperative recovery was successful with subsequent elective ileostomy reversal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>The rarity of Spigelian hernias and their atypical presentations can complicate diagnosis and management. This case was particularly challenging due to the strangulation of the sigmoid colon within the hernial sac. Surgical management was necessary to address the incarcerated bowel segment and prevent further complications. This case underscores the utility of CT scans in diagnosing complex cases and guiding surgical strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Despite their rarity, Spigelian hernias carry significant risks of strangulation. Prompt diagnosis and treatment are essential to avoid severe complications. This case highlights the importance of including Spigelian hernia in the differential diagnosis for acute abdominal symptoms, especially when they are nonspecific.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109833","type":"journal-article","created":{"date-parts":[[2024,5,30]],"date-time":"2024-05-30T02:46:30Z","timestamp":1717037190000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Complicated Spigelian hernia presenting with sigmoid colon strangulation: A unique clinical report"],"prefix":"10.1097","volume":"120","author":[{"given":"Saleh A.","family":"Ba-shammakh","sequence":"first","affiliation":[{"name":"Department of General Surgery, Ministry of Health, Amman, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bourhan","family":"Alrayes","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Islamic Hospital, Amman, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sami A.","family":"Almasarweh","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muna A.","family":"Alseragi","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Ministry of Health, Amman, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daher K.","family":"Rabadi","sequence":"additional","affiliation":[{"name":"Department of anaesthesiology and critical care, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-55-20260325","article-title":"Laparoscopic diagnosis of incarcerated \u201cspigelian hernia\u201d: report of a case and review of the literature","volume":"2011","author":"Zachariah,","year":"2011","journal-title":"Case Rep Surg."},{"key":"R2-55-20260325","first-page":"306","article-title":"Spigelian hernia: a series of cases and literature review","volume":"87","author":"Pinna,","year":"2016","journal-title":"Ann. Ital. Chir."},{"key":"R3-55-20260325","first-page":"CS64","article-title":"Incarcerated Spigelian hernia: a case report","volume":"12","author":"Zacharakis,","year":"2006","journal-title":"Med. Sci. Monit."},{"key":"R4-55-20260325","doi-asserted-by":"crossref","first-page":"50","DOI":"10.5455\/2349-2902.isj20140516","article-title":"Spigelian hernia: rare so, beware!","volume":"1","author":"George,","year":"2014","journal-title":"Int. Surg. J."},{"key":"R5-55-20260325","doi-asserted-by":"crossref","first-page":"59","DOI":"10.4103\/ijawhs.ijawhs_9_19","article-title":"A Spigelian hernia: single-center experience in an uncommon hernia","volume":"2","author":"Chaouch,","year":"2019","journal-title":"Int. J. Abdom. Wall Hernia Surg."},{"key":"R6-55-20260325","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1177\/000313480607200110","article-title":"Spigelian hernia: surgical anatomy, embryology, and technique of repair","volume":"72","author":"Skandalakis,","year":"2006","journal-title":"Am. Surg."},{"key":"R7-55-20260325","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1097\/00000658-197412000-00007","article-title":"Spigelian hernia","volume":"180","author":"Weiss,","year":"1974","journal-title":"Ann. Surg."},{"key":"R8-55-20260325","first-page":"263","article-title":"Minimally invasive Spigelian hernia repair","volume":"13","author":"Baucom,","year":"2009","journal-title":"JSLS"},{"issue":"6","key":"R9-55-20260325","first-page":"160","article-title":"Richter-type Spigelian hernia: a case report and review of the literature","volume":"11","author":"Foster,","year":"2014","journal-title":"Int. J. Surg. Case Rep."},{"key":"R10-55-20260325","doi-asserted-by":"crossref","first-page":"23","DOI":"10.3941\/jrcr.v10i11.2815","article-title":"Case of Spigelian hernia with incarcerated appendix","volume":"10","author":"Bevilacqua,","year":"2016","journal-title":"J. Radiol. Case Rep."},{"issue":"5","key":"R11-55-20260325","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg. Lond. Engl."},{"key":"R12-55-20260325","doi-asserted-by":"crossref","first-page":"275","DOI":"10.4293\/108680810X12785289144683","article-title":"Emergency intraperitoneal onlay mesh repair of incarcerated Spigelian hernia","volume":"14","author":"Subramanya,","year":"2010","journal-title":"JSLS"},{"key":"R13-55-20260325","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1097\/SMJ.0b013e3181de2dc8","article-title":"Spigelian hernia as a cause of small bowel obstruction","volume":"103","author":"Bastidas,","year":"2010","journal-title":"South. Med. J."},{"key":"R14-55-20260325","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/1752-1947-3-34","article-title":"Low Spigelian hernia in a 6-year-old boy presenting as an incarcerated inguinal hernia: a case report","volume":"3","author":"Christianakis,","year":"2009","journal-title":"J Med Case Reports"},{"key":"R15-55-20260325","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1186\/1757-1626-3-22","article-title":"An unusual Spigelian hernia involving the appendix: a case report","volume":"3","author":"Thomasset,","year":"2010","journal-title":"Cases J."},{"key":"R16-55-20260325","first-page":"417","article-title":"Spigelian hernia: a rarity","volume":"56","author":"Malik,","year":"2006","journal-title":"J. Pak. Med. Assoc."},{"key":"R17-55-20260325","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1590\/S1516-31802005000300012","article-title":"Intestinal obstruction induced by a giant incarcerated Spigelian hernia: case report and review of the literature","volume":"123","author":"Ribeiro,","year":"2005","journal-title":"Sao Paulo Med. J."},{"key":"R18-55-20260325","first-page":"518","article-title":"Incarcerated Spigelian hernia. [Article in Finnish]","volume":"128","author":"Savikko,","year":"2012","journal-title":"Duodecim"},{"issue":"4","key":"R19-55-20260325","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.ejro.2017.11.002","article-title":"A rare presentation of Spigelian hernia involving the appendix","volume":"9","author":"Xu,","year":"2017","journal-title":"Eur. J. Radiol. Open."},{"key":"R20-55-20260325","article-title":"Strangulated Spiegel's hernia mimicking ischaemic colitis: endoscopic diagnosis of a rare surgical emergency","author":"C\u00fardia Gon\u00e7alves,","year":"2018","journal-title":"Case Reports."},{"key":"R21-55-20260325","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1007\/s10029-002-0077-x","article-title":"Spigelian hernia: bibliographical study and presentation of a series of 28 patients","volume":"6","author":"Flores,","year":"2002","journal-title":"Hernia"},{"issue":"1","key":"R22-55-20260325","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.amjsurg.2006.04.016","article-title":"The open mesh repair of Spigelian hernia","volume":"193","author":"Celdr\u00e1n,","year":"2007","journal-title":"Am. J. Surg."},{"key":"R23-55-20260325","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1007\/s10029-010-0779-4","article-title":"The use of mesh in acute hernia: frequency and outcome in 99 cases","volume":"15","author":"Nieuwenhuizen,","year":"2011","journal-title":"Hernia"},{"issue":"4","key":"R24-55-20260325","doi-asserted-by":"crossref","first-page":"950","DOI":"10.1007\/s11605-022-05248-6","article-title":"Risks and prevention of surgical site infection after hernia mesh repair and the predictive utility of ACS-NSQIP","volume":"26","author":"Wilson,","year":"2022","journal-title":"J. Gastrointest. Surg."},{"key":"R25-55-20260325","article-title":"Left colon obstruction due to non-reducible Spigelian hernia of the right side","volume":"87","author":"Panaccio,","year":"2016","journal-title":"Ann. Ital. Chir."},{"issue":"1","key":"R26-55-20260325","first-page":"74","article-title":"Incarcerated Spigelian hernia: a rare cause of abdominal wall tender mass","volume":"7","author":"Anilir,","year":"2019","journal-title":"North Clin Istanb."},{"issue":"6","key":"R27-55-20260325","doi-asserted-by":"crossref","first-page":"329","DOI":"10.5694\/j.1326-5377.1971.tb50275.x","article-title":"Spigelian hernia and a \u201credundant\u201d sigmoid colon","volume":"1","author":"Oen,","year":"1971","journal-title":"Med. J. Aust."},{"issue":"3","key":"R28-55-20260325","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1177\/028418517601700306","article-title":"Spigelian hernia","volume":"17","author":"Som,","year":"1976","journal-title":"Acta Radiol. Diagn. (Stockh)."},{"issue":"1","key":"R29-55-20260325","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1007\/s00464-002-4237-y","article-title":"Spigelian hernia long considered as diverticulitis: CT scan diagnosis and laparoscopic treatment","volume":"17","author":"Habib,","year":"2003","journal-title":"Surg. Endosc."},{"issue":"5","key":"R30-55-20260325","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1002\/jcu.20872","article-title":"Epiploic appendage torsed within a spigelian hernia: US and CT findings","volume":"40","author":"Capaccio,","year":"2012","journal-title":"J. Clin. Ultrasound"},{"issue":"1","key":"R31-55-20260325","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s10029-007-0217-4","article-title":"Incarcerated Spigelian hernia mimicking obstructing colon carcinoma","volume":"12","author":"Miller,","year":"2008","journal-title":"Hernia"},{"issue":"12","key":"R32-55-20260325","doi-asserted-by":"crossref","first-page":"3018","DOI":"10.1111\/ans.18696","article-title":"An unusual case of perforated sigmoid diverticulitis within a large left spigelian hernia","volume":"93","author":"Polikarpova,","year":"2023","journal-title":"ANZ J. Surg."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026122400614X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026122400614X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.109833","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T10:21:40Z","timestamp":1774434100000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.109833"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":32,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2024.109833","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,7]]},"assertion":[{"value":"2024-04-19","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-25","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}