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Year : 2020  |  Volume : 53  |  Issue : 1  |  Page : 32-34

Sequential bilateral spigelian hernia

Department of General Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India

Correspondence Address:
Dr. Riju Ramachandran
Department of General Surgery, Amrita Institute of Medical Sciences, Kochi - 682 041, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/fjs.fjs_70_19

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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.

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