{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T04:47:56Z","timestamp":1776833276632,"version":"3.51.2"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"vor","delay-in-days":21,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Spigelian hernia is a rare ventral abdominal wall hernia occurring through a defect in the Spigelian aponeurosis along the semilunar line, accounting for 1%\u20132% of all abdominal wall hernias, with a high risk of incarceration due to its narrow and rigid fascial neck. A sacless variant, in which only preperitoneal fat protrudes without a peritoneal sac, is exceptionally rare and poses a diagnostic challenge. A 52-year-old male presented with a reducible left lower abdominal swelling and intermittent pain. Diagnostic laparoscopy showed intact peritoneum with no visible hernia defect. A strong clinical suspicion precluded conversion to open exploration, revealing a 2\u2009\u00d7\u20093\u00a0cm defect in the Spigelian aponeurosis containing preperitoneal lipomatous tissue without a peritoneal sac. A preperitoneal mesh repair was undertaken. Sacless Spigelian hernia being extremely rare, a high index of suspicion and readiness for open exploration are essential when imaging and laparoscopy are inconclusive.<\/jats:p>","DOI":"10.1093\/jscr\/rjag219","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T11:48:19Z","timestamp":1775735299000},"source":"Crossref","is-referenced-by-count":0,"title":["Sacless Spigelian hernia: a rare diagnostic and operative challenge\u2014a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Kumar Sona","family":"Brahma","sequence":"first","affiliation":[{"name":"Department of General Surgery, Kokrajhar Medical College and Hospital , Rangalikhata, Kokrajhar Town, Kokrajhar, 783370, Assam ,","place":["India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0568-3039","authenticated-orcid":false,"given":"Bhaswati","family":"Bharadwaj","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Pt BD Sharma PGIMS , Medical Rd, Rohtak, Haryana, 124001 ,","place":["India"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"key":"2026042123513687000_ref1","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.1007\/s10029-021-02511-8","article-title":"Spigelian hernia: current approaches to surgical treatment\u2014a review","volume":"26","author":"Hanzalova","year":"2022","journal-title":"Hernia"},{"key":"2026042123513687000_ref2","doi-asserted-by":"crossref","first-page":"880","DOI":"10.18203\/2349-2902.isj20200839","article-title":"Spigelian hernia case report and review of literature","volume":"7","author":"Slaiki","year":"2020","journal-title":"Int Surg J"},{"key":"2026042123513687000_ref3","volume-title":"Dissertationes medicae selectiores 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