Spigelian hernias form a minority of all abdominal wall hernias. They occur between the layers of the abdominal wall, i.e. between the transversus abdominis and the internal oblique muscles through a small slit like or oval defect and may become incarcerated. A variety of intra abdominal organs have been reported in the hernia sac. Obstruction and strangulation are potential complications but they are rare. The clinical diagnosis of a Spigelian hernia is difficult when it is small. We present here a large Spigelian hernia which persisted for very many years without any complications.

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