Spigelian hernia

Case contributed by Dr Bruno Di Muzio


Palpable hernia in the right iliac fossa.

Patient Data

Age: 63
Gender: Female

CT Abdomen and pelvis

There is a herniation of small bowel segmento through abdominal wall with the herniated sac located medial to rectus abdominis muscle, along the semilunar line (Spigelian line) through the transversus abdominis aponeurosis (Spigelian fascia).

Annotated image

Annotated image showing abdominal wall muscles.  

Case Discussion

Spigelian hernia is a type of abdominal herniaThey are rare and account for ~1% (range 0.1-2%) of ventral hernias.

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Case information

rID: 30932
Published: 10th Sep 2014
Last edited: 14th Aug 2019
Tag: hernia
Inclusion in quiz mode: Included

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