What are the symptoms of a Spigelian hernia

Symptoms of a Spigelian hernia vary from person to person and range from mild to severe. A common sign of this hernia is a lump or bulge either below or to the side of the belly button. The lump may feel soft to the touch. Another symptom is constant or intermittent abdominal pain .

How serious is a spigelian hernia?

A spigelian hernia can occur on either side of the abdomen, but most people feel pain in the lower abdomen. A spigelian hernia can block the bowel or other vital organs. When this occurs, it is a life-threatening complication that requires immediate medical attention.

What causes Spigelian hernias?

Causes. A spigelian hernia is relatively rare, usually developing after age 50, primarily in men. The cause is usually a weakening of the abdominal wall, trauma, or prolonged physical stress. Spigelian hernias are sometimes challenging to diagnose or mistaken for other abdominal conditions.

Is a spigelian hernia an emergency?

With the rapid expansion of the indications for minimal access surgery in emergency situations,1 Spigelian hernias, which are rare emergencies, are increasingly tackled using a laparoscopic approach leading to swift patient recovery and discharge.

How do you fix a spigelian hernia?

Spigelian hernias can be repaired using an open conventional approach, or laparoscopic repair. Despite the increased popularity of the laparoscopic approach the open mesh repair is still the most common method employed. Spigelian hernias typically become symptomatic only once they have become incarcerated.

Can a CT scan detect a Spigelian hernia?

The hernia can be diagnosed by either CT or ultrasound scan, but these can be falsely negative, and unequivocal radiological diagnosis prior to surgery is rare.

Can a CT scan miss a Spigelian hernia?

CT scan is by far the imaging modality of choice for evaluation of possible Spigelian hernia; however, due to their unique anatomy, Spigelian hernias are regularly missed. Larson reports as many as 6 of 19 CT scans in his series were false negatives.

How big is a Spigelian hernia?

Spigelian hernias are rare compared to other types of hernias because they do not develop under abdominal layers of fat but between fascia tissue that connects to muscle. The Spigelian hernia is generally smaller in diameter, typically measuring 1–2 cm., and the risk of tissue becoming strangulated is high.

What is Spigelian fascia?

From Wikipedia, the free encyclopedia. Spigelian fascia may refer to: The combined ventral aponeuroses of the external abdominal oblique muscle, the internal abdominal oblique muscle and transversus abdominis muscle. Just the ventral aponeurosis of the transversus abdominis muscle.

How long does Spigelian hernia surgery take?

These complications are rare with spigelian hernias. The operation takes around 30 minutes to perform. Local anaesthetic is usually injected into the wounds at the end of the procedure. The wound is usually closed with a dissolvable suture or wound glue.

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Where is the Spigelian fascia?

Spigelian fascia is located between the semilunar line and the lateral edge of the rectus abdominis muscle.

Can a hernia cause rib pain?

Sometimes pain is felt in the chest, in the back, the diaphragm and behind the ribs during or after meals and can then feel like cramp. If you have one or more of these symptoms, it may be a sign of a hiatal hernia.

What can be mistaken for a hernia?

(SLS). Hernias can go misdiagnosed in women, and can instead be thought to be ovarian cysts, fibroids, endometriosis, or other abdominal issues, according to the SLS. Women’s hernias can be small and internal. They might not be a bulge that can be felt in an exam or be visible outside the body, according to the SLS.

What is incarcerated Spigelian hernia?

Spigelian hernias are rare abdominal wall defects that occur at the semilunar line lateral to the rectus abdominis muscle. The majority of patients present with symptomatic incarceration of preperitoneal fat or intra-abdominal viscera. Radiographic studies are beneficial in confirming the diagnosis.

Can I exercise with a Spigelian hernia?

Following laparoscopic hernia repair, the recovery period is slightly shorter and associated with less pain and discomfort than open hernia surgery. In most cases, recovery lasts one to two weeks, at which point patients can resume light activity. At four weeks, patients can resume strenuous exercise.

Do hernias show up on CT scans?

Cross-sectional CT scans can show hernias and the contents of the peritoneal sac. More important, CT findings can be used to diagnose unsuspected hernias and to distinguish hernias from masses of the abdominal wall, such as tumors, hematomas, abscesses, undescended testes, and aneurysms.

What is Herniorrhaphy?

A herniorrhaphy refers to the surgical repair of a hernia, in which a surgeon repairs the weakness in your abdominal wall.

What is Semilunar line?

Linea semilunaris, sometimes referred to as the semilunar line or Spigelian line, makes the set of visibly well-developed abdominal muscles (also called as “six-pack”) that athletes desire possible. … It also binds the muscles in the anterolateral abdominal wall together.

What is obturator hernia?

Obturator hernia is a relatively rare type of abdominal hernia in which abdominal contents protrude through the obturator canal, a condition that can lead to small bowel obstruction. [1–5] This condition usually occurs in elderly, thin, emaciated patients aged 70 to 90 years.

What are the symptoms of an epigastric hernia?

A bulge in the affected area.
Pain — which can range from a dull ache to severe pain — especially when coughing, sneezing or lifting heavy objects.
Bloating or constipation.

Where is a Parastomal hernia located?

Parastomal hernia is a type of incisional hernia occurring in abdominal integuments in the vicinity of a stoma, i.e. a condition wherein abdominal contents, typically the bowel or greater omentum, protrude through abdominal integuments surrounded by the hernia sac at the location of formed stoma [3].

What is a floating hernia?

Sliding hiatal hernias are those in which the junction of the esophagus and stomach, referred to as the gastro- esophageal junction, and part of the stomach protrude into the chest. The junction may reside permanently in the chest, but often it juts into the chest only during a swallow.

What is a common complication of Spigelian hernias?

Spigelian hernias are treacherous and have a real risk of strangulation. The risk of strangulation is higher because of sharp fascial margin around the defect. Richter type of hernia has also been reported to occur with spigelian hernia. For this reason, surgery should be advised in all patients.

Can a hernia cause changes in bowel movements?

In men, large hernias can extend into the scrotum, causing pain and swelling. Incarcerated hernia. If the contents of the hernia become trapped in the weak point in the abdominal wall, the contents can obstruct the bowel, leading to severe pain, nausea, vomiting, and the inability to have a bowel movement or pass gas.

Can a Spigelian hernia cause testicular pain?

Spigelian hernia-undescended testes (SH-UDT) syndrome is a rare disorder, with only 57 cases reported in the literature. The presentation can be asymptomatic or symptomatic in the form of pain, tenderness, or a lump.

Does a hernia hurt when you touch it?

You’re more likely to feel your hernia through touch when you’re standing up, bending down, or coughing. Discomfort or pain in the area around the lump may also be present. Some types of hernia, such as hiatal hernias, can have more specific symptoms. These can include heartburn, trouble swallowing, and chest pain.

What are the symptoms of a hernia in a woman?

Burning or aching pain.
Pain in your groin when you cough, laugh, or lift something.
Constant pressure in your groin.
Pain that’s worse at the end of the day.
Burning sensation in your upper thigh.

What does a hernia in your chest feel like?

However, when symptoms do occur, they both cause chest pain that may radiate to the arm, back, and neck. Heart attack symptoms and signs that are different hiatal hernias include shortness of breath and chest pain (which may feel like a tightness, fullness, pressure, or ache), profuse sweating, and nausea.

Can a hernia make your back hurt?

Can Hernias Cause Back Pain? The short answer is yes, hernias can cause back pain. Before we dive in any deeper, let’s briefly talk about what exactly a hernia is. Hernias occur when an organ or piece of tissue pushes out of a muscle wall, resulting in pain and potential blood flow issues.

Can a doctor miss a hernia?

Given that many abdominal hernias are diagnosed based on a visual examination and the symptoms the patient reports, it is possible for an abdominal hernia misdiagnosis to occur. If a physician performs an ultrasound on a patient, a misdiagnosis may still occur as the results can be misread.