alexa A Crossed Length Diagnostic by the Way of SpiegelâÂ
ISSN: 2327-4972

Family Medicine & Medical Science Research
Open Access

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Case Report

A Crossed Length Diagnostic by the Way of Spiegel’s Hernia

Lopez Gomez J1*, Villaverde-Royo MV1, Cid Castro R1, Sancho Lozano L2, Sanjuan R3 and Palacios P4
1Teaching Unit Family and Community Medicine Sector III Zaragoza, C. S. Utebo Zaragoza, Aragonese Health Service, Spain
2Department of Radiology, University Hospital Lozano Blesa, Aragonese Health Service, Spain
3Emergency Department Hospital Ernest Lluch Calatayud, Aragonese Health Service, Spain
4Department of Surgery, University Hospital Lozano Blesa Zaragoza, Aragonese Health Service, Spain
Corresponding Author : Joan Lopez Gomez
Teaching Unit Family and Community Medicine Sector III Zaragoza. C. S. Utebo Zaragoza
Aragonese Health Service, Spain
Tel: 34 622 229 657
E-mail: [email protected]
Received November 15, 2013; Accepted January 30, 2014; Published February 04, 2014
Citation: Gomez JL, Villaverde-Royo MV, Castro RC, Lozano LS, Sanjuan R, et al. (2014) A Crossed Length Diagnostic by the Way of Spiegel’s Hernia. Fam Med Med Sci Res 3:116. doi:10.4172/2327-4972.1000116
Copyright: © 2014 Gomez JL, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

Spiegel hernias are process of low incidence that represents less than 2% of abdominal hernias. Diagnosis is often complex and in some cases is purely casual discovery. In cases in which these are symptomatic is postural abdominal pain located it´s first expression. After the anamnesis facing possible predisposing factors such as trauma or the concurrence of processes involving increased abdominal pressure and palpation is the main diagnostic instrument. Ultrasound or tomographies are useful to diagnose when tenderness is not enough. The request for additional tests without a diagnosis or suspicion can result in false negatives that slow down the diagnostic process. Strangulation and subsequent surgical intervention was the reason that changes the diagnostic process after months of study and high direct and indirect costs. In recent years the approach by laparoscopic way has shown comparable performance and shorter hospital stay. Successful diagnostic and therapeutic action, by doctor the emergency room, helped the patient returning to work in just two weeks; recovering completely the quality of life that had before trauma. All pitting the immediate cessation of the frequentation of the health system and the removal of the stigma sometimes unavoidable in some of these cases be regarded as a “hyperfrequenter” both patient the urgent field as in primary care.

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