# Spigelian Hernia: A Case Report

## TL;DR

This case report describes a rare Spigelian hernia in a 51-year-old woman, highlighting the importance of imaging for diagnosis and successful surgical treatment.

## Contribution

The paper presents a rare clinical case of Spigelian hernia with atypical symptoms and emphasizes the role of imaging in diagnosis.

## Key findings

- Spigelian hernia was diagnosed using CT scan and endoscopy in a patient with epigastric pain.
- Laparoscopic repair with prolene mesh was performed successfully with an uneventful recovery.
- Spigelian hernias are rare and often present with non-specific symptoms, requiring advanced imaging for detection.

## Abstract

A Spigelian hernia is a hernia through the Spigelian fascia which are difficult to diagnose as they do not present with a subcutaneous swelling and can be dangerous as there is a high risk of incarceration. We report a case of a 51-year-old female who presented to our surgical unit with epigastric pain for 5 days. She was diagnosed with Spigelian hernia with esophagitis and antral gastritis with the help of a computed tomography scan and upper gastrointestinal endoscopy. The diagnosis was confirmed on diagnostic laparoscopy and transabdominal preperitoneal repair of the defect was performed using prolene mesh. Her post-operative period was uneventful. Spigelian hernias are rare and patients can present with atypical symptoms as in this case. Thus, imaging plays a vital role in diagnosis. Management is surgical and has good outcomes.