Spigelian hernia 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. These are generally interparietal hernias, meaning that they do not lie below the subcutaneous fat but penetrate between the muscles of the abdominal wall; therefore, there is often no notable swelling. Spigelian hernias are usually small and therefore risk of strangulation is high. Most occur on the right side. (4th–7th decade of life.) Compared to other types of hernias they are rare. Patients typically present with either an
Body of pubic bone of the Obturator internus. Body of pubic bone The body of pubic bone forms the wide, strong, medial and flat portion of the pubic bone which unite in the pubic symphysis. The rough superior edge of the "corpus", the pubic crest, ends laterally in the pubic tubercle. This tubercle, found roughly 3 cm from the pubic symphysis, is a distinctive feature on the lower part of the abdominal wall; important when localizing the superficial inguinal ring and the femoral canal of the inguinal canal. Its "internal surface" enters into the formation of the wall of the lesser pelvis and gives