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01-10-2009 | Case Report

Spontaneous hernia through the posterior rectus abdominis sheath: case report and review of the published literature 1937–2008

Authors: J. E. Losanoff, M. D. Basson, S. A. Gruber

Published in: Hernia | Issue 5/2009

Abstract

Spontaneous ventral hernia through the rectus abdominis sheath is perhaps the rarest hernia, with eight previously reported cases since 1937. The condition has not been reflected in the popular treatises on hernia. An 83-year-old male patient underwent surgery for intestinal obstruction. A spontaneous Richter’s hernia of the small intestine through the posterior rectus abdominis sheath was successfully treated with bowel resection and tissue repair. Hernias of this variety are not well known and thus are rarely suspected. Their successful management is based on accurate emergency diagnosis and surgery, which we recommend as the best chance for a successful outcome.

Lopez JA (1937) Hernia lipomatosa de la vaina del recto anterior del abdomen. Revista de Cirugia (Mexico) 411–414 (in Spanish)

Benchimol S, Bilesio EA (1956) Trans-rectus hernia. Prensa Med Argent 43:1369–1374 (in Spanish)PubMed

Bentzon N, Adamsen S (1995) Hernia of the posterior rectus sheath: a new entity? Eur J Surg 161:215–216PubMed

Adeonigbagbe O, Ali K, Bradnock H (2000) Herniation of the liver through the rectus muscle presenting as persistent abdominal pain. Am J Gastroenterol 95:1841–1842PubMedCrossRef

Gangi S, Sparacino T, Furci M, Basile F (2002) Hernia of the posterior lamina of the rectus abdominis muscle sheath: report of a case. Ann Ital Chir 73:335–337PubMed

Felfel M, El Khourt M, Marboeuf Y, Strohl D, Menu Y (2005) Incarcerated hernia through the posterior rectus sheath. AJR 185:1185–1186PubMedCrossRef

Ahmed AR, Sharma A, Wellwood J (2005) An unusual abdominal wall hernia. Ann R Coll Surg Engl 87:W1–W2PubMedCrossRef

Whitson BA, Ose KJ (2007) Spontaneous posterior rectus sheath hernia: a new clinical entity? Hernia 11:445–447PubMedCrossRef

Ganz E, Tazzioli G, Mosca D, Amorotti C, Speranza M (1997) Ventrolateral hernias of the abdominal wall. The anatomicopathologic, clinical and therapeutic considerations. Minerva Chir 52:1441–1445 (in Italian)PubMed

10.

Loukas M, Myers C, Shah R, Tubbs RS, Wartmann C, Apaydin N, Betancor J, Jordan R (2008) Arcuate line of the rectus sheath: clinical approach. Anat Sci Int 83:140–144PubMedCrossRef

11.

Askar OM (1977) Surgical anatomy of the aponeurotic expansions of the anterior abdominal wall. Ann R Coll Surg Engl 59:313–321PubMed

12.

Szczesny W, Cerkaska K, Tretyn A, Dabrowiecki S (2006) Etiology of inguinal hernia: ultrastructure of rectus sheath revisited. Hernia 10:266–271PubMedCrossRef

Title: Spontaneous hernia through the posterior rectus abdominis sheath: case report and review of the published literature 1937–2008
Authors: J. E. Losanoff
M. D. Basson
S. A. Gruber
Publication date: 01-10-2009
Publisher: Springer-Verlag
Published in: Hernia / Issue 5/2009
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-009-0481-6

At a glance: The STEP trials

Springer Medicine

Spontaneous hernia through the posterior rectus abdominis sheath: case report and review of the published literature 1937–2008

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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