Lateral Ventral Hernia Research Articles

Pediatric lateral ventral (spigelian) hernias.

Lateral ventral (spigelian) hernias may not be recognized if the physician is unaware that they can occur in pediatric patients. Diagnosis depends on finding a protrusion in the spigelian fascia lateral to the rectus sheath at the junction of the arcuate and semilunar lines, below the umbilicus. We report nine such cases, to bring the total number of recorded pediatric cases to 18. Surgical repair involves a layered overlapping closure using interrupted nonabsorbable sutures. Since the rim of the defect is extremely difficult to outline once the child is asleep and relaxed, it must be outlined in indelible ink while the child is awake and straining.

HERNIA SEMICIRCULARIS—AN UNUSUAL LATERAL VENTRAL HERNIA

Two patients are described with an unusual lateral ventral hernia which we have named hernia semicircularis. The distinctive features of this hernia are detailed.

Spigelian hernias: anatomy and roentgenographic manifestations.

The anatomy of an uncommon but important type of lateral ventral hernia is reviewed. The key radiographic findings are air or contrast filled bowel seen laterally outside the confines of the peritoneal cavity, the “beak sign” of hernia, the sharp constriction of the proximal herniated loop, and the intermittent nature of the hernia. The setting in which to consider this diagnosis—acute bowel obstruction, intermittent abdominal pain, and “vanishing masses”—is discussed. The alert radiologist can suggest this diagnosis in cases in which the lesion is not found or appreciated by the clinician.

Bilateral spigelian hernias in infancy

<h2>Summary</h2> A lateral ventral hernia is localized to the spigelian fascia (the aponeurotic portion of the transversus abdominus muscle lateral to the rectus sheath) at the level of the arcuate line. The second case of spontaneous bilateral spigelian hernia in an infant is reported and the anatomy, etiology, diagnosis, and treatment of this unusual hernia is discussed.

The Spigelian hernia: radiographic manifestations.

The Spigelian hernia is a form of spontaneous lateral ventral hernia which occurs in the linea semilunaris (Spigelius' line) due to developmental or acquired weakness of fibres of the internal oblique and transversus abdominis muscles. Spigelian hernias most frequently occur at the junction of the linea semilunaris and the linea semicircularis of Douglas and therefore most commonly present as small intramural masses situated at the lateral margin of the rectus sheath approximately halfway between the umbilicus and the pubic symphysis. They most often contain omentum, rarely intestine and are frequently asymptomatic. Their presentation as a primary cause of intestinal obstruction is rare. In view of these anatomical and clinical characteristics, the pre-operative radiographic recognition of an obscure lower abdominal, paramedian mass as a Spigelian hernia may be of considerable clinical significance, particularly in the absence of an obvious defect or surgical scar in relationship to the mass. The case des...

Spigelian hernia

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. So far, about 1000 cases have been reported worldwide. These hernias are difficult to diagnose as they do not present with a subcutaneous swelling and have high risk of going for strangulation. We discuss the case of a 36 year old female who presented with history of pain and lumpiness in left lower abdomen, both of which decreased on lying down. She presented to emergency with an episode severe pain at same site which subsided spontaneously. Diagnosis was confirmed on CT scan, plication and onlay prolene mesh repair performed. Spigelian hernias are rare, interparietal type of hernias which have high risk undergoing strangulation. Knowledge of symptoms and signs is vital to diagnosis and treatment of these rare type of hernias.

Spigelian hernia: Rare or obscure?

Six patients with spontaneous lateral ventral hernias of the linea semilunaris who presented during a two year period are reported. Symptoms of point tenderness, or a mass and a history of straining, weight loss, or multiparity should suggest this hernia. Two patients with serious systemic disease, weight loss, and Spigelian hernias indicate that many factors may predispose to this obscure hernia. As stated by Osler, “A physician cannot make a diagnosis, unless he first thinks of the disease.” Let us hope that this hernia will be discovered on more occasions than is presently reported.

Spigelian hernia

An instance of a lateral ventral hernia, often called semilunaris (spigelian) hernia, is reported. It is emphasized that it may be a very dangerous type of hernia, rarely reported but probably occurring with much frequency. We find that this hernia is not understood universally and, therefore, is rarely suspected and diagnosed. This case represents the largest such hernial sac reported. Although an important consideration it was not included as a possibility in our preoperative differential diagnosis. Had an intestinal obstruction existed in addition to the tumor, perhaps a suspected correct diagnosis would have been made. It is hoped by the author that this case report will assist others to keep in mind the possible existence of such a hernia and stimulate the reporting of instances of a like condition.

Spontaneous lateral ventral hernia.

ADRIANvan derSPIGELIUS (1578-1625) was the first to describe the semilunar line. Klinklosch 1 accurately located a hernia in this line. River 2 collected 112 cases from the world's literature and added four cases of his own to bring the total number to 116. Four of these cases had previously appeared in the American literature. 3 Not included in River's review are reports by Miller 4 (one case), Cullen 5 (three cases), Mathews 6 (11 cases), McGlannan 7 (one case) and Sarot 8 (one case). River may have excluded Mathews' 11 cases because the hernias were of the inferior type and are frequently classified as a variety of direct inguinal hernia. Further reports by various authors, 9 and including Mathews' 11 cases, bring the total number of collected cases to 157, 32 of which appeared in the American literature. The present report concerns four patients for whom the diagnosis of spontaneous lateral ventral hernia appearing above the inferior

LARGE LATERAL VENTRAL HERNIA

Medical Journal of AustraliaVolume 1, Issue 19 p. 583-584 Reports of Cases LARGE LATERAL VENTRAL HERNIA L. Swinnerton Duke M.B., Ch.M. (Sydney), L. Swinnerton Duke M.B., Ch.M. (Sydney) Government Medical Officer Norfolk IslandSearch for more papers by this author L. Swinnerton Duke M.B., Ch.M. (Sydney), L. Swinnerton Duke M.B., Ch.M. (Sydney) Government Medical Officer Norfolk IslandSearch for more papers by this author First published: 01 May 1928 https://doi.org/10.5694/j.1326-5377.1928.tb41069.xAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume1, Issue19May 1928Pages 583-584 RelatedInformation