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Spigelian Hernia: Symptoms, Location, Diagnosis, TreatmentLocations:||||||Home/Health Library/Diseases & Conditions/Spigelian HerniaAdvertisementAdvertisementSpigelian HerniaA Spigelian hernia is a hernia in your lower abdominal wall. Hernias happen when organs push through tissue that separates certain abdominal muscles. The hernia may cause a bump or lump in your lower belly or belly pain. Large Spigelian hernias can cause serious complications. Treatment is surgery to repair the hernia.AdvertisementCleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. PolicyCare at Cleveland ClinicHernia RepairFind a Doctor and SpecialistsMake an AppointmentContentsArrow DownContentsArrow DownOverviewYou may have a Spigelian hernia if weak abdominal muscles let your intestines slip out and cause a bump in your lower belly.What is a Spigelian hernia?A Spigelian (Spuh-gay-lee-an) hernia happens when a part of your intestines pushes through the tissue that separates your front abdominal muscles. The hernia makes a lump or bump in your lower belly.AdvertisementCleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. PolicySmall Spigelian hernias may not cause painful symptoms. But large Spigelian hernias can cause serious medical issues. For example, a hernia may grow large enough to block your intestine. Or it may cut off the blood supply to your intestines (strangulated hernia). Healthcare providers may call this condition a lateral ventral hernia.Symptoms and CausesWhat are the symptoms of a Spigelian hernia?One common symptom is a bulge or lump below and 2 to 3 inches to the side of your belly button. The bump or lump appears when you stand up and goes away when you sit or lie down. But a Spigelian hernia may not cause symptoms. Other symptoms are:A tender spot in your lower belly to the right or left side of your midline (linea alba)Severe belly pain that comes and goes and may happen while you poop or lift a heavy objectWhat causes a Spigelian hernia?Spigelian hernias happen when specific abdominal muscles are weak. Those muscles are your transversus abdominis and internal oblique muscles. Those muscles may weaken as you age. This makes it easier for your large or small intestines to slip through the tissue that separates these muscles. Pregnancy may also weaken your abdominal muscles.Medical issues that put pressure on your muscles may cause Spigelian hernias. Those conditions include:AdvertisementChronic cough that can happen if you have chronic obstructive pulmonary disease (COPD)Chronic constipationLiver disease that leads to ascites (fluid buildup in your belly)ObesityYou may develop a Spigelian hernia if you’re hit in your lower belly. Healthcare providers may call this a traumatic Spigelian hernia.What are the complications of a Spigelian hernia?A Spigelian hernia may cause complications like:Bowel obstruction. In this case, part of your intestine is stuck in the opening so that undigested food can’t move through your intestine.Incarceration. This happens when the hernia traps part of your intestine or abdominal tissue.Strangulated hernia. If a loop of your intestine is caught in the hernia, it can cut off blood supply to your intestine. Without blood, your intestinal tissue starts dying (mesenteric ischemia).These more serious issues may cause the following symptoms:Sharp belly pain that comes in wavesA swelling sensation in your lower bellySevere constipationNausea and vomitingRedness or darker skin in the area where there’s a lumpIf you have these symptoms, call 911 or go to the emergency room.Diagnosis and TestsHow do healthcare providers diagnose Spigelian hernias?A healthcare provider will do a physical examination. They’ll examine your lower belly. They may ask you to stand up or stretch while standing. They do that so they can check for a bulge in your lower belly that goes away when you sit down.They may guide you through a Valsalva maneuver. This procedure causes internal pressure on your belly. That pressure may cause a bulge or lump. In a Valsalva maneuver, you take a breath, push out air with your mouth and nose closed and push down as if you’re pooping.What tests will be done to diagnose Spigelian hernia?Healthcare providers may do imaging tests like computed tomography (CT) scans or an abdominal ultrasound. They may do a laparoscopy to confirm a Spigelian hernia diagnosis.Management and TreatmentHow are Spigelian hernias treated?Hernia repair surgery is the most common treatment. In Spigelian hernia repair surgery, a surgeon pushes your intestine back into place and repairs the hernia. Hernia repair surgery may be open, laparoscopic or robotic hernia repair surgery. Your surgeon will discuss your options.Complications of hernia repair surgeryHernia surgery, like all surgeries, may cause complications like:Hematomas (blood collecting under your skin)Injury to nearby tissue, organs or blood vesselsSeromas (fluid collecting at the surgery site)Surgical site infectionCare at Cleveland ClinicHernia RepairFind a Doctor and SpecialistsMake an AppointmentOutlook / PrognosisWhat can I expect if I have a Spigelian hernia?If you’re like most people, surgery to repair the hernia takes care of the issue. But you may need additional surgery if the hernia causes complications.Living WithWhen should I see my healthcare provider?It’s possible to develop another Spigelian hernia. You should contact your provider if you have symptoms like severe belly pain or a spot in your lower belly that’s painful to touch.AdvertisementA note from Cleveland ClinicThere’s a lump or bump in your lower belly. It’s a bit odd because it doesn’t hurt when you poke it with your finger. And you only see it when you’re standing. But that mysterious lump could be a Spigelian hernia — and a reason to talk to a healthcare provider. Spigelian hernias can cause serious medical issues. Surgery to repair the hernia reduces the risk.AdvertisementCare at Cleveland ClinicHernias can be painful – Cleveland Clinic’s experts can help. We are leaders in minimally invasive hernia repair, and abdominal wall reconstruction.Hernia RepairFind a Doctor and SpecialistsMake an AppointmentMedically ReviewedLast reviewed on 11/19/2024.Learn more about the and our .ReferencesAdvertisementAdvertisementAdAppointments Appointments & LocationsRequest an AppointmentContact UsRendered: Sat Aug 16 2025 17:21:10 GMT+0000 (Coordinated Universal Time)ActionsBlog, News & AppsAbout Cleveland ClinicSite Information & Policies9500 Euclid Avenue, Cleveland, Ohio 44195 | 800.223.2273 | © 2025 Cleveland Clinic. All Rights Reserved., Learn about spigelian hernias, a rare type of hernia that can cause painful symptoms and requires surgery. We also take a look at diagnosis and recovery., Spigelian hernias cause lumps or bumps in your lower belly. They happen when your intestine pushes past your abdominal muscles. Treatment is surgery to repair the hernia..
A spigelian hernia occurs when your organs bulge between the front abdominal muscles. Learn about the causes, symptoms, and treatment options for this condition today., The causes include being overweight, constant coughing, and multiple pregnancies. The main treatment for a Spigelian hernia is timely surgery to prevent complications. This article discusses what a Spigelian hernia is. It also explains the symptoms, causes, diagnosis, and treatments., A spigelian hernia can cause pain and grow in size. But the outlook is positive with early medical intervention and surgery to correct the hole in your abdominal muscles., All diagnosed SpH should be planned for elective operation to prevent strangulated hernia and, therefore emergency surgery. Both open and laparoscopic SpH treatment can be safely performed, depending on surgeon’s experience. In most cases, a mesh repair is generally advised., Spigelian hernias are rare and easy to miss. Discover how they're diagnosed, treated, and what recovery looks like., Learn the signs, symptoms, and treatment options for Spigelian hernias. Get expert care and minimally invasive hernia surgery in New Jersey with Premier Surgical Network..