Gastrointestinal Radiology

, Volume 9, Issue 1, pp 81–84 | Cite as

Spigelian hernia: CT and ultrasonography diagnosis

  • Emil J. Balthazar
  • Bala R. Subramanyam
  • Alex Megibow


The diagnostic potential of CT and sonography in detecting clinically unrecognized cases of spigelian hernia is illustrated and discussed. These imaging modalities can promptly and reliably diagnose spigelian hernia based on the following findings: (1) peritoneal and muscular defect along the spigelian line in the lower abdomen; (2) intraparietal location of the hernial sac; and (3) hernial sac containing omentum and/or mesentery and loops of bowel. Two recently diagnosed cases are presented together with a short review of the literature.

Key words

Abdominal Hernia Spigelian hernia, diagnosis Computerized tomography Sonography 


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  1. 1.
    Holder LE, Schneider HJ: Spigelian hernias: anatomy and roentgenographic manifestations.Radiology 112:309–313, 1974PubMedGoogle Scholar
  2. 2.
    Arida EJ, Joh SK, Cucolo GF: The spigelian hernia: radiographic manifestations.Br J Radiol 43:903–905, 1970PubMedGoogle Scholar
  3. 3.
    Bryk D: Spigelian hernia containing sigmoid colon.AJR 99:71–73, 1967Google Scholar
  4. 4.
    Hunter TB, Freundlich IM, Zukoski CF: Preoperative radiographic diagnosis of a spigelian hernia containing large and small bowel.Gastrointest Radiol 1:379–381, 1977PubMedGoogle Scholar
  5. 5.
    Miller TJ, La Bree RH: Lateral ventral or Spiegel's hernia.Minn Med 43:344–345, 1960PubMedGoogle Scholar
  6. 6.
    Zimmermann IM, Anson BJ:Anatomy and Surgery of Hernia 2nd ed. Baltimore: Williams & Wilkins, 1967, pp 272–282Google Scholar
  7. 7.
    Leis HP Jr, Mersheimer WL, Winfield JM: Spontaneous lateral ventral hernia.Surgery 43:328–333, 1968Google Scholar
  8. 8.
    Bertelson S: The surgical treatment of spigelian hernia.Surg Gynecol Obstet 122:567–575, 1966PubMedGoogle Scholar
  9. 9.
    Lawler MR Jr, Carlisle BB: Giant spigelian hernia.Am J Surg 111:562–564, 1966PubMedGoogle Scholar
  10. 10.
    Hibbard LT, Schumann WR: The spigelian hernia in gynecology.Am J Obstet Gynecol 83:1439–1446, 1962PubMedGoogle Scholar
  11. 11.
    Weiss Y, Lernau OZ, Nissan S: Spigelian hernia.Ann Surg 180:836–839, 1974PubMedGoogle Scholar
  12. 12.
    Harless MS, Hirsch JE: Spigelian or spontaneous lateral ventral hernia.Am J Surg 100:515–521, 1960PubMedGoogle Scholar
  13. 13.
    Hurwitt ES, Borrow M: Bilateral spigelian hernia in childhood.Surgery 37:963–968, 1955PubMedGoogle Scholar
  14. 14.
    Read RC: Observations on the etiology of spigelian hernia.Ann Surg 152:1004–1009, 1960PubMedGoogle Scholar
  15. 15.
    Fisch A, Brodey PA: Computed tomography of the anterior abdominal wall: normal anatomy and pathology.J Comput Assist Tomogr 5:728–733, 1981PubMedGoogle Scholar
  16. 16.
    Fried AM, Meeker WR: Incarcerated spigelian hernia: ultrasonic differential diagnosis.AJR 133:107–110, 1979PubMedGoogle Scholar
  17. 17.
    Sutphen JH, Hitchcock DA, King DC: Ultrasonic demonstration of spigelian hernia.AJR 134:174–175, 1980PubMedGoogle Scholar
  18. 18.
    Deitch EA, Engel JM: Spigelian hernia: an ultrasound diagnosis.Arch Surg 115:93, 1980PubMedGoogle Scholar
  19. 19.
    Miller El, Rogers A: Sonography of the anterior abdominal wall.Semin Ultrasound 3:278–287, 1982Google Scholar

Copyright information

© Springer-Verlag 1984

Authors and Affiliations

  • Emil J. Balthazar
    • 1
  • Bala R. Subramanyam
    • 1
  • Alex Megibow
    • 1
  1. 1.Department of Radiology, Bellevue HospitalNYU Medical CenterNew YorkUSA

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