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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
Lavin A et al: Incarcerated Spigelian hernias: a rare cause of a high-grade small bowel obstruction. Cureus. 12(3):e7397, 2020
Webber V et al: Contemporary thoughts on the management of Spigelian hernia. Hernia. 21(3):355-61, 2017
Martin M et al: Spigelian hernia: CT findings and clinical relevance. Abdom Imaging. 38(2):260-4, 2013
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
Sucandy I et al: Spigelian hernia, diagnosis, and minimally invasive repair: a case series of 11 patients. Am Surg. 79(8):E284-5, 2013
Perrakis A et al: Spigel hernia: a single center experience in a rare hernia entity. Hernia. 16(4):439-44, 2012
Salameh JR: Primary and unusual abdominal wall hernias. Surg Clin North Am. 88(1):45-60, viii, 2008
Jamadar DA et al: Sonography of inguinal region hernias. AJR Am J Roentgenol. 187(1):185-90, 2006
Losanoff JE et al: Spigelian hernia in a child: case report and review of the literature. Hernia. 6(4): 191-3, 2002
Losanoff JE et al: Recurrent Spigelian hernia: a rare cause of colonic obstruction. Hernia. 5(2): 101-4, 2001
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
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
Lavin A et al: Incarcerated Spigelian hernias: a rare cause of a high-grade small bowel obstruction. Cureus. 12(3):e7397, 2020
Webber V et al: Contemporary thoughts on the management of Spigelian hernia. Hernia. 21(3):355-61, 2017
Martin M et al: Spigelian hernia: CT findings and clinical relevance. Abdom Imaging. 38(2):260-4, 2013
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
Sucandy I et al: Spigelian hernia, diagnosis, and minimally invasive repair: a case series of 11 patients. Am Surg. 79(8):E284-5, 2013
Perrakis A et al: Spigel hernia: a single center experience in a rare hernia entity. Hernia. 16(4):439-44, 2012
Salameh JR: Primary and unusual abdominal wall hernias. Surg Clin North Am. 88(1):45-60, viii, 2008
Jamadar DA et al: Sonography of inguinal region hernias. AJR Am J Roentgenol. 187(1):185-90, 2006
Losanoff JE et al: Spigelian hernia in a child: case report and review of the literature. Hernia. 6(4): 191-3, 2002
Losanoff JE et al: Recurrent Spigelian hernia: a rare cause of colonic obstruction. Hernia. 5(2): 101-4, 2001
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
Harrison LA et al: Abdominal wall hernias: review of herniography and correlation with cross-sectional imaging. Radiographics. 15(2):315-32, 1995
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