ADRIAN van der SPIGELIUS (1578-1625) was the first to describe the semilunar line. Klinklosch1 accurately located a hernia in this line. River2 collected 112 cases from the world's literature and added four cases of his own to bring the total number to 116. Four of these cases had previously appeared in the American literature.3 Not included in River's review are reports by Miller4 (one case), Cullen5 (three cases), Mathews6 (11 cases), McGlannan7 (one case) and Sarot8 (one case). River may have excluded Mathews' 11 cases because the hernias were of the inferior type and are frequently classified as a variety of direct inguinal hernia. Further reports by various authors,9 and including Mathews' 11 cases, bring the total number of collected cases to 157, 32 of which appeared in the American literature.
The present report concerns four patients for whom the diagnosis of spontaneous lateral ventral hernia appearing above the inferior
MERSHEIMER WL, WINFIELD JM, RUGGIERO WF. SPONTANEOUS LATERAL VENTRAL HERNIASo-Called Spigelian Hernia. AMA Arch Surg. 1951;63(1):39-47. doi:10.1001/archsurg.1951.01250040042007