{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T05:24:50Z","timestamp":1768454690526,"version":"3.49.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2020,6,25]],"date-time":"2020-06-25T00:00:00Z","timestamp":1593043200000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Spigelian hernia is a rare form of abdominal wall hernias. We report an unusual case of a strangulated spigelian hernia with necrotic contents of the caecum, appendix and terminal ileum in the elderly. An 84-year-old woman, with a history of eight pregnancies, was admitted for bowel obstruction evolving for 7\u00a0days. The computed tomography scan showed a strangulated right spigelian hernia. Surgical exploration with an incision centered on the mass confirmed the diagnosis with extensive necrosis of the caecum, appendix and 10\u00a0cm of the terminal ileum. A right hemi-colectomy with an ileo-colic anastomosis was performed. The post-operative course was marked by the death of the patient in intensive care due to multi-visceral failure. The occurrence of strangulation with necrosis of the caecum, appendix and terminal ileum in spigelian hernia is extremely rare. It requires early diagnosis and treatment to reduce post-operative morbidity and mortality.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa115","type":"journal-article","created":{"date-parts":[[2020,4,7]],"date-time":"2020-04-07T21:48:35Z","timestamp":1586296115000},"source":"Crossref","is-referenced-by-count":5,"title":["Strangulated spigelian hernia with necrosis of the caecum, appendix and terminal ileum: an unusual presentation in the elderly"],"prefix":"10.1093","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8103-1375","authenticated-orcid":false,"given":"Abdourahmane","family":"Ndong","sequence":"first","affiliation":[{"name":"Department of Surgery, Gaston Berger University, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacques Noel","family":"Tendeng","sequence":"first","affiliation":[{"name":"Department of Surgery, Gaston Berger University, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fallou Gallas","family":"Niang","sequence":"first","affiliation":[{"name":"Department of Radiology, Saint-Louis Hospital, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Lamine","family":"Diao","sequence":"first","affiliation":[{"name":"Department of Surgery, Gaston Berger University, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adja Coumba","family":"Diallo","sequence":"first","affiliation":[{"name":"Department of Surgery, Gaston Berger University, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aicha","family":"Ndichout","sequence":"first","affiliation":[{"name":"Department of Radiology, Saint-Louis Hospital, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diago Anta","family":"Dia","sequence":"first","affiliation":[{"name":"Department of Surgery, Gaston Berger University, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phillipe Manyacka Ma","family":"Nyemb","sequence":"first","affiliation":[{"name":"Department of Surgery, Gaston Berger University, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ibrahima","family":"Konat\u00e9","sequence":"first","affiliation":[{"name":"Department of Surgery, Gaston Berger University, Saint-Louis, Senegal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,6,25]]},"reference":[{"key":"2020062515234194600_ref1","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1007\/s10029-006-0103-5","article-title":"Spigelian hernias: a prospective analysis of baseline parameters and surgical outcome of 34 consecutive patients","volume":"10","author":"Malazgirt","year":"2006","journal-title":"Hernia"},{"key":"2020062515234194600_ref2","first-page":"583","article-title":"Spigelian hernia. Personal experience and review of the literature","volume":"102","author":"de la Hermosa","year":"2010","journal-title":"Rev Esp Enferm Dig"},{"key":"2020062515234194600_ref3","first-page":"1","article-title":"La hernie interstitielle de Spieghel","author":"Sall","year":"2017","journal-title":"J Afr H\u00e9pato-Gastroenterol"},{"key":"2020062515234194600_ref4","first-page":"157","article-title":"Strangulated spigelian hernia with contents of the terminal ileum, cecal appendix, cecum and ascending colon. Report of a case","volume":"39","author":"Rupit Serrano","year":"2018","journal-title":"Cir Gen"},{"key":"2020062515234194600_ref5","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1016\/S0039-6109(16)43290-1","article-title":"Spigelian hernia","volume":"64","author":"Spangen","year":"1984","journal-title":"Surg Clin North Am"},{"key":"2020062515234194600_ref6","doi-asserted-by":"crossref","first-page":"95","DOI":"10.4103\/0972-9941.45204","article-title":"Diagnosis and management of spigelian hernia: a review of literature and our experience","volume":"4","author":"Mittal","year":"2008","journal-title":"J Minimal Access Surg"},{"key":"2020062515234194600_ref7","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/8474730","article-title":"Large strangulated spigelian hernia: management of an uncommon presentation of abdominal hernias in Central Uganda","volume":"2019","author":"Lucien","year":"2019","journal-title":"Case Rep Surg"},{"key":"2020062515234194600_ref8","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.ijscr.2010.06.006","article-title":"Colonic obstruction secondary to incarcerated spigelian hernia in a severely obese patient","volume":"1","author":"Salemis","year":"2010","journal-title":"Int J Surg Case Rep"},{"key":"2020062515234194600_ref9","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1007\/s00268-002-6605-0","article-title":"Spigelian hernias: repair and outcome for 81 patients","volume":"26","author":"Larson","year":"2002","journal-title":"World J Surg"},{"key":"2020062515234194600_ref10","doi-asserted-by":"crossref","first-page":"1266","DOI":"10.1001\/archsurg.137.11.1266","article-title":"Open vs. laparoscopic repair of spigelian hernia: a prospective randomized trial","volume":"137","author":"Moreno-Egea","year":"2002","journal-title":"Arch Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/6\/rjaa115\/33425171\/rjaa115.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/6\/rjaa115\/33425171\/rjaa115.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,6,25]],"date-time":"2020-06-25T19:23:51Z","timestamp":1593113031000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa115\/5862153"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,1]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,6,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa115","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,6]]},"published":{"date-parts":[[2020,6,1]]},"article-number":"rjaa115"}}