Spigelian hernia

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Abdominal right sided mass feeling.

Patient Data

Age: 50 years
Gender: Male
CT

A 75mm large defect is noted at right anterolateral aspect of abdominal wall, between the lateral border of the rectus abdominis muscle and the semilunar line inferring right spigelian hernia. Some small bowel loops and omental & mesenteric fat are herniated through it. 
Uncomplicated distal colonic diverticulosis is present.
The prostate gland is enlarged.
Degenerative changes as osteophytosis are seen at the lumbar spine.

Case Discussion

Spigelian hernia, also known as lateral ventral hernia, is a type of abdominal hernia along the semilunar line, resulting in herniation between the muscles of the abdominal wall.

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