A Spigelian is the type of ventral hernia where aponeurotic fascia pushes through a hole creating a bulge. It appears in the abdomen lower quadrant between an area of dense fibrous tissue and abdominal wall muscles causing a Spigelian aponeurosis [1]. It is the protuberance of, omentum, adipose or bowel in that weak space between the stomach muscles, that ultimately pushes the intestines or superficial fatty tissue through a hole causing a defect. As a result, it creates the movement of an organ or a loop of intestine in the weakened body space that it is not supposed to be in. It is at this separation aponeurosis in the ventral abdominal region, that herniation most commonly occurs. 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.

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