La hernie de Spiegel : à propos de trois cas

Spiegelian hernia is a rare anterior abdominal wall
hernia, described in 1764 by a Hungarian surgeon. It often
remains undiagnosed because of its unusual location on the
semilunar line, laterally to the rectus muscle. CT presentation
is specific. Because of its high risk of strangulation, a surgical
management should be proposed, even in case of fortuitous
discovery. We present three cases of Spiegelian hernia, two
fortuitously discovered and one detected on the occasion of
a small bowel incarceration. We also evoke a similar case of
eventration on the lunate line requesting the knowledge of the
detailed surgical antecedents for diagnosis.