What are the clinical presentations of abdominal spigelian hernias?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

Spigelian hernias present with local pain and signs of obstruction from incarceration. This pain increases with contraction of the abdominal muscles. Interparietal hernias between the layers of the abdominal wall present similarly. A mass may be just superior and lateral to the external ring, and the scrotum may not contain a testis. Internal supravesical hernias may have obstructive intestinal symptoms or symptoms resembling those of a urinary tract infection. Vague flank discomfort combined with an enlarging mass in the flank suggests a lumbar hernia.


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