Spigelian hernia

Spigelian hernia

Infobox_Disease
Name = PAGENAME


Caption =
DiseasesDB =
ICD10 =
ICD9 = ICD9|553.29
ICDO =
OMIM =
MedlinePlus =
eMedicineSubj =
eMedicineTopic =
MeshID =
A Spigelian hernia (or lateral ventral hernia) is a hernia through the spigelian fascia, which is the aponeurotic layer between the rectus abdominis muscle medially, and the semilunar line laterally. These hernias almost always develop at or below the linea arcuata, probably because of the lack of posterior rectus sheath. These are generally interparietal hernias, meaning that they do not lie below the subcutaneous fat but penetrate between the muscles of the abdominal wall; therefore, there is often no notable swelling.

Spigelian hernias are usually small and therefore risk of strangulation is high. Most develop around age 50 (4th-7th decade of life). Compared to other types of hernias they are rarecite journal |author=Larson DW, Farley DR |title=Spigelian hernias: repair and outcome for 81 patients |journal=World journal of surgery |volume=26 |issue=10 |pages=1277–81 |year=2002 |pmid=12205553 |doi=10.1007/s00268-002-6605-0] .

ymptoms and diagnosis

Patients typically present with either an intermittent mass, localized pain, or signs of bowel obstruction. Ultrasonography or a CT scan can establish the diagnosis.

Treatment

These hernias should be repaired because of the high risk of strangulation; [cite journal |author=Vos DI, Scheltinga MR |title=Incidence and outcome of surgical repair of spigelian hernia |journal=The British journal of surgery |volume=91 |issue=5 |pages=640–4 |year=2004 |pmid=15122618 |doi=10.1002/bjs.4524] fortunately, surgery is straight-forward, with only larger defects requiring a mesh prosthesis.

Eponym

Adriaan van den Spiegel, a surgeon-anatomist born in Brussels, described this hernia in 1645.

References

External links

* http://www.whonamedit.com/doctor.cfm/2280.html


Wikimedia Foundation. 2010.

Игры ⚽ Поможем написать реферат

Look at other dictionaries:

  • spigelian hernia — spi·ge·lian hernia spī jē l(ē )yən n, often cap S a hernia occurring along the linea semilunaris * * * an abdominal hernia through the linea semilunaris (spigelian line) …   Medical dictionary

  • Hernia — Classification and external resources Frontal chest X ray showing a hernia of Morgagni ICD 10 K …   Wikipedia

  • Hernia — A general term referring to a protrusion of a tissue through the wall of the cavity in which it is normally contained. More specifically, a hernia often refers to an opening or weakness in the muscular structure of the wall of the abdomen. This… …   Medical dictionary

  • abdominal hernia — n any of various hernias (as an inguinal hernia, umbilical hernia, or spigelian hernia) in which an anatomical part (as a section of the intestine) protrudes through an opening, tear, or weakness in the abdominal wall musculature * * * herniation …   Medical dictionary

  • Femoral hernia — Classification and external resources ICD 10 K41 ICD 9 553.0 …   Wikipedia

  • Hiatus hernia — Ventricular hernia Classification and external resources ICD 10 K44, Q40.1 …   Wikipedia

  • Diaphragmatic hernia — Classification and external resources This is a photo of a peritoneopericardial diaphragmatic hernia in a cat. The photo was taken during necropsy from the right side of the cat. To the left is the abdomen, where part of the liver and the gall… …   Wikipedia

  • Direct inguinal hernia — Inguinal hernia Classification and external resources ICD 10 K40 ICD 9 550 …   Wikipedia

  • Obturator hernia — Classification and external resources ICD 10 K45 ICD 9 553.8 DiseasesDB …   Wikipedia

  • Digestive disease — Classification and external resources MeSH D004066 All diseases that pertain to the gastrointestinal tract are labelled as digestive diseases. This includes diseases of the esophagus, stomach, first, second, and third part of the …   Wikipedia

Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”