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Spigelian Hernia
Siva P. Raman, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Spigelian hernia (SH)
            • Synonyms

              • Lateral ventral hernia; anterolateral hernia; hernia through conjoint tendon
            • Definitions

              • Hernia through defect in aponeurosis of internal oblique and transverse abdominal muscles
                • Spigelian aponeurosis: Aponeurosis of internal oblique and transverse abdominal muscles

            IMAGING

            • General Features

              • CT Findings

                • Imaging Recommendations

                  • Ultrasonographic Findings

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Martin M et al: Spigelian hernia: CT findings and clinical relevance. Abdom Imaging. 38(2):260-4, 2013
                                      2. Mustaffa N et al: Education and Imaging. Gastrointestinal: Spigelian hernia; an uncommon cause of longstanding intermittent abdominal pain. J Gastroenterol Hepatol. 28(1):202, 2013
                                      3. Sucandy I et al: Spigelian hernia, diagnosis, and minimally invasive repair: a case series of 11 patients. Am Surg. 79(8):E284-5, 2013
                                      4. Perrakis A et al: Spigel hernia: a single center experience in a rare hernia entity. Hernia. 16(4):439-44, 2012
                                      5. Salameh JR: Primary and unusual abdominal wall hernias. Surg Clin North Am. 88(1):45-60, viii, 2008
                                      6. Jamadar DA et al: Sonography of inguinal region hernias. AJR Am J Roentgenol. 187(1):185-90, 2006
                                      7. Losanoff JE et al: Spigelian hernia in a child: case report and review of the literature. Hernia. 6(4): 191-3, 2002
                                      8. Losanoff JE et al: Recurrent Spigelian hernia: a rare cause of colonic obstruction. Hernia. 5(2): 101-4, 2001
                                      9. Losanoff JE et al: Incarcerated Spigelian hernia in morbidly obese patients: the role of intraoperative ultrasonography for hernia localization. Obes Surg. 7(3): 211-4, 1997
                                      10. Harrison LA et al: Abdominal wall hernias: review of herniography and correlation with cross-sectional imaging. Radiographics. 15(2):315-32, 1995
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Abbreviations

                                                  • Spigelian hernia (SH)
                                                • Synonyms

                                                  • Lateral ventral hernia; anterolateral hernia; hernia through conjoint tendon
                                                • Definitions

                                                  • Hernia through defect in aponeurosis of internal oblique and transverse abdominal muscles
                                                    • Spigelian aponeurosis: Aponeurosis of internal oblique and transverse abdominal muscles

                                                IMAGING

                                                • General Features

                                                  • CT Findings

                                                    • Imaging Recommendations

                                                      • Ultrasonographic Findings

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Gross Pathologic & Surgical Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Martin M et al: Spigelian hernia: CT findings and clinical relevance. Abdom Imaging. 38(2):260-4, 2013
                                                                          2. Mustaffa N et al: Education and Imaging. Gastrointestinal: Spigelian hernia; an uncommon cause of longstanding intermittent abdominal pain. J Gastroenterol Hepatol. 28(1):202, 2013
                                                                          3. Sucandy I et al: Spigelian hernia, diagnosis, and minimally invasive repair: a case series of 11 patients. Am Surg. 79(8):E284-5, 2013
                                                                          4. Perrakis A et al: Spigel hernia: a single center experience in a rare hernia entity. Hernia. 16(4):439-44, 2012
                                                                          5. Salameh JR: Primary and unusual abdominal wall hernias. Surg Clin North Am. 88(1):45-60, viii, 2008
                                                                          6. Jamadar DA et al: Sonography of inguinal region hernias. AJR Am J Roentgenol. 187(1):185-90, 2006
                                                                          7. Losanoff JE et al: Spigelian hernia in a child: case report and review of the literature. Hernia. 6(4): 191-3, 2002
                                                                          8. Losanoff JE et al: Recurrent Spigelian hernia: a rare cause of colonic obstruction. Hernia. 5(2): 101-4, 2001
                                                                          9. Losanoff JE et al: Incarcerated Spigelian hernia in morbidly obese patients: the role of intraoperative ultrasonography for hernia localization. Obes Surg. 7(3): 211-4, 1997
                                                                          10. Harrison LA et al: Abdominal wall hernias: review of herniography and correlation with cross-sectional imaging. Radiographics. 15(2):315-32, 1995