IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Spigelian hernia - traumatic

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

Handle-bar injury to the right lower abdominal wall with bruising and acutely painful, palpable lump after coughing.

Patient Data

Age: 50 years
Gender: Male

Herniation of bowel loops through abdominal wall defect at the lateral border of the right rectus abdominis muscle (linea semilunaris) consistent with Spigelian hernia. No related bowel obstruction.

Case Discussion

Typical location of a Spigelian hernia lateral to the rectus abdominis muscle. In this case, it is traumatic due to a direct bicycle handle-bar impact injury at the site. This is very unusual. Note soft tissue swelling in the adjacent subcutaneous fat as well as the clinical skin bruising.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.