Soft-tissue metastasis refers to the growth of cancer cells originating from internal cancer in the soft tissues. In most cases, soft-tissue metastasis develops after initial diagnosis of the primary internal malignancy and late in the course of the disease. In very rare cases, they may occur at the same time or before the primary cancer has been detected. In our case, the soft-tissue metastasis and the primary lung cancer were diagnosed at the same time. To the best of our knowledge soft tissue metastasis on the anterior abdominal wall of unknown primary lung cancer is an extremely rare condition and only a handful of cases have been reported till date .We report a case of unsuspected soft tissue metastasis on the anterior abdominal wall of an unknown primary lung cancer with relevant discussion on the same.

Spigelian hernia is protrusion of the viscera through the spigelian fascia. They account for only 2% of all abdominal wall hernias and are relatively associated with higher risk of complications. It was first reported by Klinkosch in 1764. The treatment of choice is open hernioplasty. Here we report a case of 65 yrs. old lady who underwent laparoscopic transabdominal underlay repair for spigelian hernia concluding that minimal assess surgery is a viable modality of treatment of spigelian hernia.