Spigelian hernia-Our experience

Abstract

Background; A Spigelian hernia is a very rare hernia which develops through the aponeurotic layer between the rectus abdominal muscles medially, and the semilunar line laterally.
 Aim: The aim of this study is to understand the clinical presentation and management of this rare hernia.
 Material and methods: This study was conducted over a period of five years in the Department of Surgery SKIMS Medical College Srinagar and included all the patients diagnosed as spigelian hernia.
 Results: During our study, we encountered only four cases of spigelian hernia, which included three females and one male.
 Conclusion: The spigelian hernia is a very rare hernia seen in adults and usually there is no notable swelling on examination. Although they are rare but there is a high risk of strangulation. JMS 2018: 21 (2):114-116

Complicated Spigelian hernia presenting with sigmoid colon strangulation: A unique clinical report

“…In our patient, the hernia was situated in the lower left quadrant, adjacent to the rectus muscle, aligning with the most commonly reported location for Spigelian hernias [ 14 , 15 ]. Notably, the hernia sac contained the sigmoid colon, diverging from the more typical contents such as omentum, small bowel, or colon [ 16 , 17 ]. The patient reported severe, persistent abdominal pain, a symptom often precipitating medical consultation for Spigelian hernia [ 3 , 18 ].…”