{"id":1019,"date":"2020-03-23T12:31:45","date_gmt":"2020-03-23T12:31:45","guid":{"rendered":"https:\/\/seeco.es\/?p=1019"},"modified":"2025-05-26T16:44:00","modified_gmt":"2025-05-26T16:44:00","slug":"hernia-de-spiegel","status":"publish","type":"post","link":"https:\/\/seeco.es\/en\/hernia-de-spiegel\/","title":{"rendered":"Spigelian hernia"},"content":{"rendered":"<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k84ft2ev-f02fb443ba75193b7f1ea06454e2fa8c\">\n#top .av-special-heading.av-k84ft2ev-f02fb443ba75193b7f1ea06454e2fa8c{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-k84ft2ev-f02fb443ba75193b7f1ea06454e2fa8c .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-k84ft2ev-f02fb443ba75193b7f1ea06454e2fa8c .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-k84ft2ev-f02fb443ba75193b7f1ea06454e2fa8c av-special-heading-h2 blockquote modern-quote  avia-builder-el-0  el_before_av_hr  avia-builder-el-first'><h2 class='av-special-heading-tag'  itemprop=\"headline\"  >Spigelian hernia in the right lower quadrant<\/h2><div class='av-subheading av-subheading_below'><p>Dr. Bruno Sagastegui Aguilar<\/p>\n<\/div><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k7fvw3kd-e697da24c37fcd6ba91d9f086731fce5\">\n#top .hr.hr-invisible.av-k7fvw3kd-e697da24c37fcd6ba91d9f086731fce5{\nheight:30px;\n}\n<\/style>\n<div  class='hr av-k7fvw3kd-e697da24c37fcd6ba91d9f086731fce5 hr-invisible  avia-builder-el-1  el_after_av_heading  el_before_av_one_fourth'><span class='hr-inner'><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-cxma0-e880f963822761a6668e7d14390641be\">\n.flex_column.av-cxma0-e880f963822761a6668e7d14390641be{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-cxma0-e880f963822761a6668e7d14390641be av_one_fourth  avia-builder-el-2  el_after_av_hr  el_before_av_three_fourth  first flex_column_div av-zero-column-padding'     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k7fvyp2x-44b968b54767dfe36cbf58a76d86924c\">\n.avia-image-container.av-k7fvyp2x-44b968b54767dfe36cbf58a76d86924c img.avia_image{\n-webkit-box-shadow:none;\n-moz-box-shadow:none;\nbox-shadow:none;\n}\n.avia-image-container.av-k7fvyp2x-44b968b54767dfe36cbf58a76d86924c .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-k7fvyp2x-44b968b54767dfe36cbf58a76d86924c av-styling-circle avia_animated_image av-animated-when-visible-95 top-to-bottom avia-align-center  avia-builder-el-3  avia-builder-el-no-sibling'   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-916 avia-img-lazy-loading-not-916 avia_image' src=\"https:\/\/seeco.es\/wp-content\/uploads\/2020\/03\/DR.-BRUNO-SAGASTEGUI-.jpeg\" alt='Dr. Bruno Sagastegui' title='Dr. Bruno Sagastegui'  height=\"142\" width=\"142\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/seeco.es\/wp-content\/uploads\/2020\/03\/DR.-BRUNO-SAGASTEGUI-.jpeg 142w, https:\/\/seeco.es\/wp-content\/uploads\/2020\/03\/DR.-BRUNO-SAGASTEGUI--100x100.jpeg 100w, https:\/\/seeco.es\/wp-content\/uploads\/2020\/03\/DR.-BRUNO-SAGASTEGUI--80x80.jpeg 80w, https:\/\/seeco.es\/wp-content\/uploads\/2020\/03\/DR.-BRUNO-SAGASTEGUI--36x36.jpeg 36w\" sizes=\"(max-width: 142px) 100vw, 142px\" \/><\/div><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-7fsd4-6fbf4514d1897b3e5e6edda4416ce66f\">\n.flex_column.av-7fsd4-6fbf4514d1897b3e5e6edda4416ce66f{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-7fsd4-6fbf4514d1897b3e5e6edda4416ce66f av_three_fourth  avia-builder-el-4  el_after_av_one_fourth  avia-builder-el-last  flex_column_div av-zero-column-padding'     ><section  class='av_textblock_section av-k7fvsz6c-0e6f2df06f21ea0a336593ff3580a717'   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><ul>\n<li><strong>Case name<\/strong>: Spigelian hernia in the right lower quadrant.<\/li>\n<li><strong>Author&#039;s name<\/strong>: Dr. Bruno Sag\u00e1stegui Aguilar.<\/li>\n<li><strong>Author&#039;s job position<\/strong>: Work center: SONOSCAN Ultrasound Center (Private) and TOMONORTE Diagnostic Imaging Center (Private) Trujillo \u2013 PERU.<\/li>\n<li><strong>Clinical and examination:\u00a0<\/strong>Male patient, 42 years old, comes due to a \u201cmass\u201d in the lower right quadrant of the abdomen <strong>(Image 1) <\/strong>for 2 years, which increases in size when lifting weights or doing intense exercise and decreases when resting, causing pain. History: He denies surgery or trauma.<\/li>\n<li><strong>Ultrasound findings: <\/strong>In the lower right quadrant, a hernial defect is seen between the lateral border of the rectus abdominis muscle and the semilunar line. <strong>(Image 2), <\/strong>by which a large hernial sac protrudes through the aponeurosis of the transverse muscle, inside the aponeurosis of the external oblique muscle, containing mesenteric fat and intestinal loops, during the Valsalva maneuver. It is partially reduced by echo pressure. <strong>(Image 2, Video 1 and 2).<\/strong><\/li>\n<li><strong>Diagnosis<\/strong>: The findings are consistent with Spigelian hernia in the right lower quadrant.<\/li>\n<\/ul>\n<\/div><\/section><br \/>\n<div id='av-masonry-1' class='av-masonry av-k7fw4nuy-fc3af2f34797622c2df47305d2d2bfad noHover av-flex-size av-large-gap av-hover-overlay-active av-masonry-animation-active av-masonry-col-2 av-caption-always av-caption-style- av-masonry-gallery' data-post_id=\"1019\"><div class=\"av-masonry-container isotope av-js-disabled\"><div class='av-masonry-entry isotope-item av-masonry-item-no-image'><\/div><a href=\"https:\/\/seeco.es\/wp-content\/uploads\/2020\/03\/Imagen-1-1-1030x644.jpg\" data-srcset=\"https:\/\/seeco.es\/wp-content\/uploads\/2020\/03\/Imagen-1-1-1030x644.jpg 1030w, https:\/\/seeco.es\/wp-content\/uploads\/2020\/03\/Imagen-1-1-600x375.jpg 600w, https:\/\/seeco.es\/wp-content\/uploads\/2020\/03\/Imagen-1-1-300x188.jpg 300w, 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