Introduction:

Spiegel hernia is defined as any spontaneous protrusion of preperitoneal fat, or a peritoneal sac with visceral content, through a defect (ring) in the aponeurosis or Spiegel's fascia.

Objective:

Present the following case because despite being known, its incidence is very low, so there are problems for its diagnosis.

Clinical case:

A 72-year-old female patient with a history of lower left hemiabdomen pain, which increased with the efforts. Occasionally, a small volume increase was felt on the left side of the Spiegel belt that protruded with the Valsalva maneuver. Soft tissue ultrasound did not help the diagnosis. During the transoperative period, Spiegel's hernia was identified. It was repaired with non-absorbable monofilament suture.

Conclusions:

Spiegel's hernia continues to be a surgical condition of difficult clinical diagnosis.

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