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This rare cause of longstanding abdominal pain and bloating can be difficult to identify before CT imaging, however, it can be safely managed operatively without removal of the appendix.<\/jats:p>","DOI":"10.1136\/bcr-2025-264840","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T02:40:25Z","timestamp":1742956825000},"page":"e264840","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Spigelian hernia containing an appendix"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3821-0639","authenticated-orcid":false,"given":"Thomas","family":"Stubley","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery, Western General Hospital, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerard","family":"McCabe","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Western General Hospital, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas T","family":"Ventham","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Western General Hospital, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,3,25]]},"reference":[{"key":"2025082710423160000_18.3.e264840.1","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 Minim Access Surg"},{"key":"2025082710423160000_18.3.e264840.2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-021-02511-8"},{"key":"2025082710423160000_18.3.e264840.3","doi-asserted-by":"crossref","first-page":"20148141","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":"2025082710423160000_18.3.e264840.4","doi-asserted-by":"crossref","first-page":"e66","DOI":"10.1308\/003588413X13511609957731","article-title":"Appendicitis in a Spigelian hernia: an unusual cause for a tender right iliac fossa mass","volume":"95","author":"Thomas","year":"2013","journal-title":"Ann R Coll Surg Engl"},{"key":"2025082710423160000_18.3.e264840.5","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1097\/RCT.0b013e3181b766d9","article-title":"Computed tomographic diagnosis of appendicitis within a spigelian hernia","volume":"34","author":"Deshmukh","year":"2010","journal-title":"J Comput Assist Tomogr"},{"key":"2025082710423160000_18.3.e264840.6","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-003-0118-0"},{"key":"2025082710423160000_18.3.e264840.7","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":"2025082710423160000_18.3.e264840.8","article-title":"Robotic Ventral Transabdominal Preperitoneal Repair of Uncomplicated Spigelian Hernia","volume":"15","author":"Abraham","year":"2023","journal-title":"Cureus"},{"key":"2025082710423160000_18.3.e264840.9","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":"2025082710423160000_18.3.e264840.10","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1308\/003588409X12486167521514","article-title":"Incisional hernia repair - 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