Traumatic Abdominal Hernia Masquerading as Strangulated Spigelian Hernia

Strangulated Spigelian hernia.

Spigelian herniae rarely present as emergencies. There have been two cases requiring emergency surgery at this hospital within the last 5 years, representing 2.4% of all abdominal wall herniae requiring urgent treatment for strangulation.

Traumatic spigelian hernia

Spigelian hernia (SH), or ventro-lateral hernia is typically a rare clinical condition, it representing only about 1.5% of hernial formation cases of the abdominal wall. The condition requires a high index of suspicion due to its high potential for life-threatening complications. To the best of our knowledge, the first case of Spigelian hernia was reported in 1933, and subsequent reports would ...

Spigelian Hernia Presenting As Abdominal Wall Abscess

Dear Editor, Spigelian hernia can be described as a protrusion of a peritoneal sac, organ, or preperitoneal fat through a congenital or acquired defect in the Spigelian fascia, which is the part transeversus abdominis aponeurosis that lies between the semilunar (Spigelian) line and the lateral edge of the rectus muscle, often above the inferior epigastric vessels, at the level of the arcuate li...

spigelian hernia presenting as abdominal wall abscess

Unusual disappearing abdominal bump: spigelian hernia.

ABSTRACT Spigelian hernia is a rare surgical entity. The presentation is nonspecific, and the diagnosis is evasive if a high index of suspicion is not maintained, more so in obese patients. Contrast enhanced computed tomography (CECT) is the imaging modality of choice. Ultrasound is less specific with high false negative rate especially in obese patients. Though these hernias are managed by bot...