Spigelian hernia: Difference between revisions
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{{Infobox medical condition | |||
| name = Spigelian hernia | |||
| image = [[File:Spigelian_Hernia.jpg|250px]] | |||
| caption = Illustration of a Spigelian hernia | |||
| synonyms = Lateral ventral hernia | |||
| pronounce = | |||
| specialty = [[General surgery]] | |||
| symptoms = [[Abdominal pain]], [[abdominal mass]] | |||
| complications = [[Bowel obstruction]], [[strangulation (medicine)|strangulation]] | |||
| onset = | |||
| duration = | |||
| types = | |||
| causes = Weakness in the [[Spigelian fascia]] | |||
| risks = [[Obesity]], [[chronic cough]], [[pregnancy]] | |||
| diagnosis = [[Physical examination]], [[ultrasound]], [[CT scan]] | |||
| differential = [[Inguinal hernia]], [[femoral hernia]], [[abdominal wall hematoma]] | |||
| prevention = | |||
| treatment = [[Surgical repair]] | |||
| medication = | |||
| prognosis = Generally good with treatment | |||
| frequency = Rare | |||
| deaths = | |||
}} | |||
= Spigelian Hernia = | = Spigelian Hernia = | ||
== Introduction == | == Introduction == | ||
'''Spigelian Hernia''' is a type of [[Ventral Hernia]] characterized by the protrusion of aponeurotic fascia through a defect in the abdominal wall at the junction of the linea semilunaris and the arcuate line. This condition results in a bulge in the lower quadrant of the abdomen and is specifically associated with the Spigelian aponeurosis. | '''Spigelian Hernia''' is a type of [[Ventral Hernia]] characterized by the protrusion of aponeurotic fascia through a defect in the abdominal wall at the junction of the linea semilunaris and the arcuate line. This condition results in a bulge in the lower quadrant of the abdomen and is specifically associated with the Spigelian aponeurosis. | ||
== Anatomy and Pathophysiology == | == Anatomy and Pathophysiology == | ||
Spigelian hernias occur through a defect or weakness in the Spigelian fascia, which is located between the rectus abdominis muscle and the semilunar line. The hernia typically appears below the level of the umbilicus where the abdominal wall is thinner and more vulnerable to defects. | Spigelian hernias occur through a defect or weakness in the Spigelian fascia, which is located between the rectus abdominis muscle and the semilunar line. The hernia typically appears below the level of the umbilicus where the abdominal wall is thinner and more vulnerable to defects. | ||
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== Epidemiology == | == Epidemiology == | ||
This type of hernia is relatively rare and can occur in both men and women. It is most commonly seen in middle-aged and older adults and may be misdiagnosed due to its unusual location and presentation. | This type of hernia is relatively rare and can occur in both men and women. It is most commonly seen in middle-aged and older adults and may be misdiagnosed due to its unusual location and presentation. | ||
== Symptoms and Diagnosis == | == Symptoms and Diagnosis == | ||
Symptoms may include pain and a noticeable bulge in the lower abdominal quadrant, which may intensify with straining or physical activity. Diagnosis often requires imaging studies such as ultrasound or [[Computed Tomography (CT) Scan|CT scans]] due to the difficulty in clinical diagnosis. | Symptoms may include pain and a noticeable bulge in the lower abdominal quadrant, which may intensify with straining or physical activity. Diagnosis often requires imaging studies such as ultrasound or [[Computed Tomography (CT) Scan|CT scans]] due to the difficulty in clinical diagnosis. | ||
== Treatment == | == Treatment == | ||
Treatment typically involves surgical repair, either through traditional open surgery or laparoscopic methods. The choice of procedure depends on the size of the hernia and the patient's overall health. | Treatment typically involves surgical repair, either through traditional open surgery or laparoscopic methods. The choice of procedure depends on the size of the hernia and the patient's overall health. | ||
== Complications == | == Complications == | ||
If left untreated, Spigelian hernias can lead to complications like incarceration or strangulation of the herniated tissue, necessitating emergency surgery. | If left untreated, Spigelian hernias can lead to complications like incarceration or strangulation of the herniated tissue, necessitating emergency surgery. | ||
== Prevention and Lifestyle Modifications == | == Prevention and Lifestyle Modifications == | ||
Preventive measures include maintaining a healthy weight, regular exercise, and avoiding heavy lifting or straining that can increase abdominal pressure. | Preventive measures include maintaining a healthy weight, regular exercise, and avoiding heavy lifting or straining that can increase abdominal pressure. | ||
== See Also == | == See Also == | ||
* [[Hernia]] | * [[Hernia]] | ||
* [[Abdominal Wall Hernia]] | * [[Abdominal Wall Hernia]] | ||
* [[Laparoscopic Surgery]] | * [[Laparoscopic Surgery]] | ||
== References == | == References == | ||
<references/> | <references/> | ||
1. [Link to a medical journal article on Spigelian Hernia] | 1. [Link to a medical journal article on Spigelian Hernia] | ||
2. [Link to a surgical textbook or guideline discussing hernia repair] | 2. [Link to a surgical textbook or guideline discussing hernia repair] | ||
== External Links == | == External Links == | ||
* [https://www.webmd.com/digestive-disorders/what-is-a-spigelian-hernia WebMD - Spigelian Hernia] | * [https://www.webmd.com/digestive-disorders/what-is-a-spigelian-hernia WebMD - Spigelian Hernia] | ||
* [https://www.mayoclinic.org/diseases-conditions/hernia/symptoms-causes/syc-20351547 Mayo Clinic - Hernia] | * [https://www.mayoclinic.org/diseases-conditions/hernia/symptoms-causes/syc-20351547 Mayo Clinic - Hernia] | ||
[[Category:Hernias]] | [[Category:Hernias]] | ||
[[Category:Abdominal Surgical Procedures]] | [[Category:Abdominal Surgical Procedures]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
{{stub}} | {{stub}} | ||
Latest revision as of 18:14, 8 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Spigelian hernia | |
|---|---|
| |
| Synonyms | Lateral ventral hernia |
| Pronounce | |
| Specialty | General surgery |
| Symptoms | Abdominal pain, abdominal mass |
| Complications | Bowel obstruction, strangulation |
| Onset | |
| Duration | |
| Types | |
| Causes | Weakness in the Spigelian fascia |
| Risks | Obesity, chronic cough, pregnancy |
| Diagnosis | Physical examination, ultrasound, CT scan |
| Differential diagnosis | Inguinal hernia, femoral hernia, abdominal wall hematoma |
| Prevention | |
| Treatment | Surgical repair |
| Medication | |
| Prognosis | Generally good with treatment |
| Frequency | Rare |
| Deaths | |
Spigelian Hernia[edit]
Introduction[edit]
Spigelian Hernia is a type of Ventral Hernia characterized by the protrusion of aponeurotic fascia through a defect in the abdominal wall at the junction of the linea semilunaris and the arcuate line. This condition results in a bulge in the lower quadrant of the abdomen and is specifically associated with the Spigelian aponeurosis.
Anatomy and Pathophysiology[edit]
Spigelian hernias occur through a defect or weakness in the Spigelian fascia, which is located between the rectus abdominis muscle and the semilunar line. The hernia typically appears below the level of the umbilicus where the abdominal wall is thinner and more vulnerable to defects.
Epidemiology[edit]
This type of hernia is relatively rare and can occur in both men and women. It is most commonly seen in middle-aged and older adults and may be misdiagnosed due to its unusual location and presentation.
Symptoms and Diagnosis[edit]
Symptoms may include pain and a noticeable bulge in the lower abdominal quadrant, which may intensify with straining or physical activity. Diagnosis often requires imaging studies such as ultrasound or CT scans due to the difficulty in clinical diagnosis.
Treatment[edit]
Treatment typically involves surgical repair, either through traditional open surgery or laparoscopic methods. The choice of procedure depends on the size of the hernia and the patient's overall health.
Complications[edit]
If left untreated, Spigelian hernias can lead to complications like incarceration or strangulation of the herniated tissue, necessitating emergency surgery.
Prevention and Lifestyle Modifications[edit]
Preventive measures include maintaining a healthy weight, regular exercise, and avoiding heavy lifting or straining that can increase abdominal pressure.
See Also[edit]
References[edit]
<references/> 1. [Link to a medical journal article on Spigelian Hernia] 2. [Link to a surgical textbook or guideline discussing hernia repair]
