Spigelian Hernia

  • Spontaneous lateral ventral hernia below the umbilicus and lateral to the rectus muscle, at junction of vertical semilunar line and horizontal semicircular line
  • 90% located 0 - 6 cm above anterior superior iliac spine (Spigelian belt of Spagel)
  • Named for Adrian vander Spieghel: Flemish anatomist, (1578 - 1625)
  • Characteristics:
        - median age = 50 years
        - more common in males than females
        - more common on right side than left side
  • Rx: facial closure

    Plain Abdominal x-ray showing intestinal obstruction in a patient with a Spigelian Hernia

    CAT Scan of abdomen demonstrating an incarcerated Left Spigelian Hernia. Note air above fascia on patient's left.
New York University School of Medicine
Hernia Repair
Department of Surgery
550 First Avenue, New York, NY 10016
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