Shrestha, PrinsaK C, GaurabAcharya, BidurShah, Shiv RajRegmee, Sujan2025-08-172025-08-172024https://hdl.handle.net/20.500.14572/1691Prinsa Shrestha Department of General Surgery, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal Gaurab K C Department of General Surgery, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal Bidur Acharya Department of General Surgery, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal Shiv Raj Shah Department of General Surgery, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal Sujan Regmee Department of General Surgery, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, NepalAbstract A Spigelian hernia is a hernia through the Spigelian fascia which are difficult to diagnose as they do not present with a subcutaneous swelling and can be dangerous as there is a high risk of incarceration. We report a case of a 51-year-old female who presented to our surgical unit with epigastric pain for 5 days. She was diagnosed with Spigelian hernia with esophagitis and antral gastritis with the help of a computed tomography scan and upper gastrointestinal endoscopy. The diagnosis was confirmed on diagnostic laparoscopy and transabdominal preperitoneal repair of the defect was performed using prolene mesh. Her post-operative period was uneventful. Spigelian hernias are rare and patients can present with atypical symptoms as in this case. Thus, imaging plays a vital role in diagnosis. Management is surgical and has good outcomes.en-USOther