DOI: 10.36347/sjmcr.2021.v09i09.024

Pages: 915-916

Introduction: Spigelian hernia is an unusual dehiscence occurring on the semilunar line. It is a rare entity, representing less than 1% of abdominal wall hernias. It is asymptomatic in 90% of cases. The positive diagnosis is radiological. Observation: We report the case of a 30-year-old female patient who presented with a swelling of the right flank that had been progressively increasing in volume for 1 year. The clinical examination revealed a mass in the right flank that was soft, painless and reducible, and without any inflammatory signs. The diagnosis of Spigelian hernia was retained on abdominal CT. Conclusion: Spiegel's hernia is a rare entity and its clinical diagnosis can be difficult. It is asymptomatic in 90% of cases. Its positive diagnosis is radiological. The risk of strangulation is not negligible and requires surgical treatment once the diagnosis is confirmed.