Abstract
Introduction: The spigelian hernia is very uncommonly diagnosed variety of anterior abdominal wall hernia. The radiological imaging with ultrasound and computed tomography (CT) scan is diagnostic. Case Report: A 50-year-old female presented with a painless, self-reducible mass in the right lower abdomen. The size of mass was 14 × 11 cm. The clinical diagnosis of a large spigelian hernia was confirmed by ultrasound and CT scan. The patient was operated under general anesthesia and open preperitoneal mesh repair was done. Conclusion: For repair of large size spigelian hernia, reinforcement with polypropylene mesh is recommended because of high recurrence rate of tissue repair. Open preperitoneal repair is a preferred technique over laparoscopic total extraperitoneal repair.
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