{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:40:04Z","timestamp":1751485204518,"version":"3.41.0"},"reference-count":13,"publisher":"International College of Surgeons","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>Describes the existence of endometrioma in a spigelian hernia sac. Spigelian Hernia is a rare ventral hernia, presenting difficulties in diagnosis and carrying a high incarceration and obstruction risk. Endometriomas occur due to implantation of endometrial cells into a surgical wound, most often after a cesarean delivery. A 37-year-old woman presented to our department with persistent abdominal pain, exacerbating during menses, and vomiting for 2 days. Physical examination revealed a mass-like lesion in the border between the left-upper and left-lower quadrant. Ultrasound examination was inconclusive and a computed tomography scan of the abdomen revealed an abdominal wall mass. During surgery, a spigelian hernia was found 5 to 7 cm above a previous cesarean incision. Tissue like \u201cchocolate cysts\u201d was present at the hernia sac. Hernia was repaired while tissue was excised and sent for histological examination that confirmed the diagnosis. Spigelian hernia is a hernia presenting difficulties in diagnosis and treatment. Endometrioma in a spigelian hernia sac is a rare diagnosis, confirmed only histologically. Clinical suspicion can be posed only through symptoms and thorough investigation.<\/jats:p>","DOI":"10.9738\/intsurg-d-13-00245.1","type":"journal-article","created":{"date-parts":[[2015,1,16]],"date-time":"2015-01-16T19:06:34Z","timestamp":1421435194000},"page":"109-111","source":"Crossref","is-referenced-by-count":2,"title":["Endometriosis in a Spigelian Hernia Sac: An Unexpected Finding"],"prefix":"10.9738","volume":"100","author":[{"given":"Demetrios","family":"Moris","sequence":"first","affiliation":[{"name":"Department of Surgery, Athens University School of Medicine, \u201cLaikon\u201d General Hospital, Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adamantios","family":"Michalinos","sequence":"additional","affiliation":[{"name":"Department of Surgery, Athens University School of Medicine, \u201cLaikon\u201d General Hospital, Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Spiridon","family":"Vernadakis","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"issue":"4","key":"i0020-8868-100-1-109-b01","series-title":"Hernia","first-page":"439","article-title":"Spigel hernia: a single center experience in a rare hernia entity","volume":"16","author":"Perrakis\n              A,","year":"2012","unstructured":"Perrakis\n              A, \n            \n              Velimezis\n              G, \n            \n              Kapogiannatos\n              G, \n            \n              Koronakis\n              D, \n            \n              Perrakis\n              E. \n          \n          Spigel hernia: a single center experience in a rare hernia entity. Hernia2012;16(4):439\u2013444"},{"issue":"6","key":"i0020-8868-100-1-109-b02","series-title":"AORN J","first-page":"730","article-title":"Abdominal wall endometrioma: a case report and review of the literature","volume":"91","author":"Nissotakis\n              C,","year":"2010","unstructured":"Nissotakis\n              C, \n            \n              Zouros\n              E, \n            \n              Revelos\n              K, \n            \n              Sakorafas\n              GH. \n          \n          Abdominal wall endometrioma: a case report and review of the literature. AORN J2010;91(6):730\u2013742"},{"issue":"3","key":"i0020-8868-100-1-109-b03","series-title":"Hernia","first-page":"297","article-title":"The use of mesh in acute hernia: frequency and outcome in 99 cases","volume":"15","author":"Nieuwenhuizen\n              J,","year":"2011","unstructured":"Nieuwenhuizen\n              J, \n            \n              van Ramshorst\n              GH, \n            \n              ten Brinke\n              JG, \n            \n              de Wit\n              T, \n            \n              van de Harst\n              E, \n            \n              Hop\n              W\n            \n            et al\n          . The use of mesh in acute hernia: frequency and outcome in 99 cases. 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Am Surg1996;62(12):1042\u20131044."},{"issue":"2","key":"i0020-8868-100-1-109-b09","series-title":"Cytopathology","first-page":"94","article-title":"Cytomorphological spectrum in scar endometriosis: a study of eight cases","volume":"16","author":"Pathan\n              SK,","year":"2005","unstructured":"Pathan\n              SK, \n            \n              Kapila\n              K, \n            \n              Haji\n              BE, \n            \n              Malik\n              MK, \n            \n              Al-Ansary\n              T, \n            \n              George\n              S\n            \n            et al\n          . Cytomorphological spectrum in scar endometriosis: a study of eight cases. Cytopathology2005;16(2):94\u201399"},{"issue":"2","key":"i0020-8868-100-1-109-b10","series-title":"Hernia","first-page":"215","article-title":"Endometriosis of the groin hernia sac: report of a case and review of the literature","volume":"14","author":"Kiyak\n              G,","year":"2010","unstructured":"Kiyak\n              G, \n            \n              Ergul\n              E, \n            \n              Sarikaya\n              SM, \n            \n              Yazgan\n              A. \n          \n          Endometriosis of the groin hernia sac: report of a case and review of the literature. 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J R Coll Surg Edinb2001;46(5):313\u2013315"},{"issue":"4","key":"i0020-8868-100-1-109-b12","series-title":"Gastrointest Radiol","first-page":"379","article-title":"Preoperative radiographic diagnosis of a Spigelian hernia containing large and small bowel","volume":"1","author":"Hunter\n              TB,","year":"1977","unstructured":"Hunter\n              TB, \n            \n              Freundlich\n              IM, \n            \n              Zukoski\n              CF. \n          \n          Preoperative radiographic diagnosis of a Spigelian hernia containing large and small bowel. Gastrointest Radiol1977;1(4):379\u2013381"},{"issue":"5","key":"i0020-8868-100-1-109-b13","series-title":"Rev Esp Enferm Dig","first-page":"338","article-title":"Spigelian hernia in Spain. An analysis of 162 cases","volume":"97","year":"2005","unstructured":"Moles Morenilla L, Docobo Dur\u00e1ntez F, Mena Robles J, de Quinta Frutos R. Spigelian hernia in Spain. An analysis of 162 cases. Rev Esp Enferm Dig2005;97(5):338\u2013347"}],"container-title":["International Surgery"],"original-title":[],"link":[{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/100\/1\/article-p109.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/international-surgery\/article-pdf\/100\/1\/109\/2214775\/intsurg-d-13-00245_1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/100\/1\/article-p109.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/100\/1\/article-p109.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:10:10Z","timestamp":1751483410000},"score":1,"resource":{"primary":{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/100\/1\/article-p109.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1]]},"references-count":13,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.9738\/intsurg-d-13-00245.1","relation":{},"ISSN":["0020-8868","2520-2456"],"issn-type":[{"type":"print","value":"0020-8868"},{"type":"electronic","value":"2520-2456"}],"subject":[],"published":{"date-parts":[[2015,1]]}}}