ABSTRACT
Hernia in Spigel's semilunar line is a rare, diagnostic difficult type of abdominal external hernia at all. Case report of female patient aged 50-years treated surgically because of untypical situated (upon the navel) Spigelian hernia was described. The woman complained of painful left epigastrium with periodically revealed orange-like-tumor. Spigelian hernia was operated in general anaesthesia. Postoperative period was uncomplemented.
Subject(s)
Abdominal Wall/surgery , Hernia, Ventral/surgery , Abdominal Muscles/pathology , Abdominal Muscles/surgery , Abdominal Pain/etiology , Abdominal Wall/pathology , Female , Hernia, Ventral/complications , Hernia, Ventral/pathology , Humans , Middle Aged , Time Factors , Treatment OutcomeABSTRACT
The article presents a case of 42-year-old patient with Recklinghausen disease treated in the outpatient clinic for 5 years for hyperaesthesia of a thumb. On physical examination the thumb was painful but smooth, soft with no features of infection. Neuralgia and Raynaud syndrome were suspected. Additional investigations did not show significant abnormalities, however, successive forms of conservative treatment (including denervation of the thumb) were not successful. Instant, persistent pain caused by even a slight touch or thermal changes suggested glomus tumor of the thumb. Physical examination did not confirm a lump typical in this disease. Finally partial resection of the digital pulp was performed, which led to complete recovery. Histopathological examination confirmed glomus tumor of the thumb.
