Where is a Spigelian hernia located?
Most of spigelian hernias occur in the lower abdomen where the posterior sheath is deficient. It is also called “spontaneous lateral ventral hernia” or “hernia of semilunar line”. The hernia ring is a well-defined defect in the transversus aponeurosis.
What aggravates a Spigelian hernia?
frequently straining to have a bowel movement. trauma to the abdomen, such as during surgery or due to a major injury. frequently straining to lift heavy objects. fluid in the abdomen due to conditions such as liver problems.
What are the symptoms of a Spigelian hernia?
Symptoms of a Spigelian hernia vary from person to person and range from mild to severe. A common sign of this hernia is a lump or bulge either below or to the side of the belly button. The lump may feel soft to the touch. Another symptom is constant or intermittent abdominal pain .
What is the anatomical defect associated with inguinal hernia?
A direct inguinal hernia usually occurs as a consequence of a defect or weakness in the transversalis fascia area of the Hesselbach triangle. The triangle is defined inferiorly by the inguinal ligament, laterally by the inferior epigastric arteries, and medially by the conjoined tendon.
Can a spigelian hernia be seen on a CT scan?
The hernia can be diagnosed by either CT or ultrasound scan, but these can be falsely negative, and unequivocal radiological diagnosis prior to surgery is rare.
Do hernias affect bowel movements?
If the contents of the hernia become trapped in the weak point in the abdominal wall, the contents can obstruct the bowel, leading to severe pain, nausea, vomiting, and the inability to have a bowel movement or pass gas. Strangulation. An incarcerated hernia can cut off blood flow to part of your intestine.
Is a Spigelian hernia an emergency?
With the rapid expansion of the indications for minimal access surgery in emergency situations,1 Spigelian hernias, which are rare emergencies, are increasingly tackled using a laparoscopic approach leading to swift patient recovery and discharge.
Can a CT scan detect a spigelian hernia?
What causes epigastric hernia?
The primary risk factors are being overweight or having prior pregnancy, either of which can cause an opening in the abdominal muscles to expand over time. Conditions, behaviors and activities that put strain on or weaken the abdominal wall can also cause umbilical or epigastric hernias. These include: Smoking.
Is there such a thing as a Spigelian hernia?
Spigelian hernia, also known as lateral ventral hernia , is a type of abdominal hernia along the semilunar line, resulting in herniation between the muscles of the abdominal wall. They are rare and account for ~1% (range 0.1-2%) of ventral hernias 2,3. The incidence is thought to peak around the 4 th to 7 th decades.
How old do you have to be to have a Spigelian hernia?
This can result in cutting off blood supply to one or more of those organs, creating what is known as a strangulated hernia. A spigelian hernia is relatively rare, usually developing after age 50, primarily in men.
What kind of hernia is in the semilunar line?
Dr Yahya Baba ◉ and Dr Paresh K Desai et al. Spigelian hernias (alternative plural: herniae), also known as lateral ventral hernias, are a type of abdominal hernia along the semilunar line, resulting in herniation between the muscles of the abdominal wall.
How is Spigelian hernia related to cryptorchidism?
They may be congenital or acquired. A Spigelian hernia is associated with ipsilateral cryptorchidism among 75% male infants 5. Two hypotheses has been proposed to explain the association, but the exact mechanism is still in debate. Spigelian-cryptorchidism syndrome (failure in the development of a gubernaculum) 5.