Spigelian hernia (SH) is an uncommon surgical entity
in children and rare in adults. Due to various reasons, spigelian hernia can
develop through defects in transversus abdominis aponeurosis. Usually spigelian
hernia develops below the arcuate line of Douglus and rarely occurs at higher
level. It poses a diagnostic dilemma for surgeon as there are no specific
symptoms and signs. It comprises about 0.12% of all abdominal wall hernias. The
spigelian hernia has been repaired by both conventional and laparoscopic
approach. We present a case of spigelian hernia in left half of lower abdomen
in a 15-year-old child.
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