INTESTINAL ADENOCARCINOMA AS UNEXPECTED CONTENT OF SPIGELIAN HERNIA: WHEN CT-SCAN IT'S NOT ENOUGH.

Spigelian hernias are only 1-2% of all types and are considered a very uncommon condition: it develops through a weaker area between the semilunar line and the lateral edge of rectal muscle. There is an association with female sex, obesity, prior surgery, chronic obstructive pulmonary disease, abdominal trauma or coexistence of other wall defects. The content is intraperitoneal fat or omentum, sometimes small bowel or colon. Symptoms, like abdominal pain, lateral lump and altered bowel habits are linked to the most common complication: incarceration. The CT scan can be useful in confirming the abdominal wall defect and in discriminating the content and can help in the choice of the best surgical Intestinal adenocarcinoma as unexpected content of Spigelian hernia: when CT-scan it’s not enough procedure, especially if there is an ischemia. In literature are described some case of atypical content, such a