Spigelian hernia

Case contributed by Bruno Di Muzio


Palpable hernia in the right iliac fossa.

Patient Data

Age: 65 years
Gender: Female

CT Abdomen and pelvis


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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.