What are the symptoms of a Spigelian hernia?

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  • The most common symptom of a Spigelian hernia is abdominal pain and tenderness where the hernia is located. A soft reducible bulge may or may not be present. If present, the bulge is below the naval and on the left or right side of the abdomen. It's possible to have bilateral Spigelian hernias, resulting in bulges on both sides of the lower abdomen. If a bulge or mass is not palpable, the area will still be tender. Symptoms of incarcerated Spigelian hernias include abdominal cramping, vomiting, fever, and intense pain in the hernia. Approximately one-third of Spigelian hernias become incarcerated.

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What causes a Spigelian hernia?