1. Justin Brown 23 Oct 2014

2. 14 yo M transfer from OSH following bicycle crash Hemodynamically stable No helmet, no LOC Contusion with handlebar indention on LLQ

3. Hemodynamically stable Abdomen soft LLQ bulge with bike handle indention Mild TTP throughout Exquisitely tender over bulge WBC – 19.9, Afebrile

4. MT 4741238

24. Rectus External Oblique Spigelian fascia

25. MT 4741238

26. Traumatic Spigelian Hernia Rare entity 24 reported cases US is gold standard for diagnosis No standard in treatment – Small defects allowed to heal spontaneously – Incarcerated bowel, nonhealing hernias, evidence of perforation indications for repair