Spigelian hernia

Abstract

Spigelian hernias are defined as a protrusion of preperitoneal fat, peritoneum or an organ through the semilunar line located in the junction of the fibers of the transverse and oblique abdominal muscles laterally to the rectus abdominis muscle. They account for 1% to 2% of all abdominal wall hernias with less than 1000 reported cases. We report the case of an 80-year-old female patient who sought medical care due to intermittent pain in the left lumbar region. On physical examination, an increase in volume of approximately 6 cm was observed in the left lumbar region (Spigelian belt). With the Valsalva maneuver, the structure protruded and was manually reduced. A diagnosis of Spigelian hernia was made, and the patient underwent open repair using polypropylene mesh, without complications.