Crohn's appendicitis in an incarcerated spigelian hernia

Abstract
A patient with incarcerated Crohn''s appendicitis and a spigelian hernia is presented, representing the challenge in diagnosis, incision choice, and choice of definitive surgical procedure. While it is unlikely that the report of such a patient''s course will make prospective recognition of this rare entity more likely, a systemic approach to this patient has allowed a satisfactory result with minimal complications.

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