DOI: 10.36347/sjmcr.2016.v04i10.010

Pages: 732-736

Spigelian hernias are rare accounting for 1-2% of all abdominal hernias, so bilateral spigelian hernia constitutes less than 1-2% of all abdominal hernias. Spigelian hernias are generally difficult to diagnose because of their location and vague non-specific symptoms. They are situated between the muscular layers of the abdominal wall and can be easily overlooked because of abdominal obesity. The diagnosis has been considerably aided by the introduction of ultrasonography and computed tomography (CT). These hernias require surgical treatment. We report a case of bilateral spigelian hernia which is a uncommon disease entity. This 55 year old female patient presented with history of two swellings in the lower abdomen below the umbilicus with mild colicky type of pain since 6months. USG abdomen showed spigelian hernia in bilateral lower lumbar region. Patient then underwent bilateral hernial repair with on lay prolene mesh placement.