A rare case of Spigelian hernia penetrating the external oblique muscle

strangulation that lead to serious complications, while their clinical presentation is often vague, leading to delayed diagnosis. Primary repair has so far been the treatment of choice, while other techniques can also be considered depending on the patient’s characteristics and the hernia type. A thorough physical examination along with high clinical suspicion remains crucial in the diagnosis of the Spigelian hernia; additionally, modern imaging modalities assist in timely and accurate preoperative diagnosis. Prompt surgical treatment is the key to avoid complications.