DOI: 10.36347/sasjs.2021.v07i04.002

Pages: 166-168

Introduction: Spigelian hernias or lateral ventral hernia are rare defects of the abdominal wall usually appearing between the abdominal muscles, lateral to the rectus abdominis and through a debilitated Spigelian aponeurosis. It is a rare clinical entity, accounting for 0.10 to 1% of hernias. Also, it seemed appropriate to us to report this two cases collected in the surgery department A of the CHU Hassan II of Fez. Observation: We report the observation of two patients:a 84-year-old patient with a history of ischemic heart disease stented under treatment, renal failure and arterial hypertension who presented a left paraumbilical swelling gradually increasing in size, and a 30-year-old man admitted to the emergency room after a fall from the 2nd floor following an electrification ,Spiegel hernia was suspected on clinical examination, and the diagnosis of left anterolateral eventration was retained on abdominal computed tomography. A hernia repair by prolene mesh and parietal raffia were performed and the postoperative follow-up was simple. Conclusion: Spiegelian hernia is a rare affection; its clinical diagnosis can be difficult. It is asymptomatic in 90% of cases and its positive diagnosis is radiological. The significant risk of strangulation requires surgical treatment once the diagnosis is confirmed.