{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:14Z","timestamp":1753877174633,"version":"3.41.2"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T00:00:00Z","timestamp":1736467200000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Spigelian hernias are rare clinical entities; vague symptomatology and unreliable clinical examination ensure difficult diagnosis. Computed tomography (CT) is critical for accurate diagnosis. Surgical repair is mandated given the high risk of visceral organ incarceration. Few cases have reported herniation of the ovary or fallopian tube. A 76-year-old female presented with bilateral lower quadrant pain associated with tenderness and no palpable bulge. A CT scan identified a right lower quadrant Spigelian hernia containing the right ovary and fallopian tube. A laparoscopic transabdominal preperitoneal repair with mesh was performed. Intraoperative evaluation showed a congested ovary. The patient was discharged postoperative Day 1. Spigelian hernias can involve the small intestine, greater omentum, or colon, while cases involving the gynecologic organs are rare. CT is key to diagnosis. A minimally invasive surgical approach should be considered given its potential benefits of decreased wound complications and its diagnostic and therapeutic utility.<\/jats:p>","DOI":"10.1093\/jscr\/rjae548","type":"journal-article","created":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T12:52:41Z","timestamp":1736513561000},"source":"Crossref","is-referenced-by-count":0,"title":["Hidden in plain sight: abdominopelvic pain unveiling a Spigelian hernia containing ovary and fallopian tube"],"prefix":"10.1093","volume":"2025","author":[{"given":"Joel","family":"Ketner","sequence":"first","affiliation":[{"name":"College of Medicine, University of Nebraska Medical Center , Omaha, NE 68198,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason M","family":"Lizalek","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery , Department of Surgery, , Omaha, NE 68198,","place":["United States"]},{"name":"University of Nebraska Medical Center , Department of Surgery, , Omaha, NE 68198,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Maginot","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery , Department of Surgery, , Omaha, NE 68198,","place":["United States"]},{"name":"University of Nebraska Medical Center , Department of Surgery, , Omaha, NE 68198,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bennett B","family":"Berning","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery , Department of Surgery, , Omaha, NE 68198,","place":["United States"]},{"name":"University of Nebraska Medical Center , Department of Surgery, , Omaha, NE 68198,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,1,9]]},"reference":[{"key":"2025011012523486000_ref1","doi-asserted-by":"publisher","first-page":"1427","DOI":"10.1007\/s10029-021-02511-8","article-title":"Spigelian hernia: current approaches to surgical treatment-a review","volume":"26","author":"Hanzalova","year":"2022","journal-title":"Hernia"},{"key":"2025011012523486000_ref2","doi-asserted-by":"publisher","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":"2025011012523486000_ref3","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1016\/j.ijscr.2017.01.015","article-title":"Case report of ovary and fallopian tube as content of a Spigelian hernia\u2014a rare entity","volume":"31","author":"Khadka","year":"2017","journal-title":"Int J Surg Case Rep"},{"key":"2025011012523486000_ref4","first-page":"507","article-title":"Left side Spigelian hernia containing tuberculous ovary with abscess formation\u2014a case report","volume":"3","author":"Kadem","year":"2019","journal-title":"International Journal of Medical Reviews and Case Reports"},{"key":"2025011012523486000_ref5","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1002\/bjs5.50252","article-title":"EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances","volume":"4","author":"Henriksen","year":"2020","journal-title":"BJS Open"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/1\/rjae548\/61397808\/rjae548.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/1\/rjae548\/61397808\/rjae548.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T12:52:43Z","timestamp":1736513563000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae548\/7950731"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,21]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,12,21]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae548","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,1]]},"published":{"date-parts":[[2024,12,21]]},"article-number":"rjae548"}}