Spigelian hernia

Case contributed by Bruno Di Muzio

Presentation

Palpable hernia in the right iliac fossa.

Patient Data

Age: 65 years
Gender: Female

CT Abdomen and pelvis

ct

There is a herniation of a small bowel segment through the abdominal wall with the herniated sac located lateral to the 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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