Background:

Spigelian hernia is a defect of the abdominal wall that is generally misdiagnosed. In the experience of surgeons, the diagnosis of the abdominal wall hernias is usually clinical. However, because of their presentation is infrequent (0.1 - 2 %) Spigelian hernias often fail to be noticed.

Objective:

To describe the case of a patient with a Spigelian hernia.

Case report:

In this article, we present a 37-year-old male patient who was hospitalized due to abdominal pain during a month and a half of evolution, who was diagnosed with a Spigelian hernia.

Conclusions:

Due to the diagnostic difficulties this disease presents it is important to accomplish a correct anamnesis and physical examination, without putting aside studies of image. The definite treatment of Spigelian hernia is surgery.

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