Sequential bilateral spigelian hernia

Abstract

World over, Spigelian hernia (SH) is a puzzling entity and is a diagnosis of exclusion. It has a low incidence rate and a relatively high rate of omission. We present a 57-year-old female patient who came to our clinic 2 years ago with an incisional hernia. During dissection, she was found to have a bulge in the right Spigelian belt adjacent to the incisional hernia. Both the herniae were repaired. She again presented to us with a large bulge over the left iliac fossa. On evaluation, she was diagnosed with a left SH which was then repaired. We present this case to highlight the possibility of bilateralism of SH in patients.