Year: 2025 | Month: November | Volume: 15 | Issue: 11 | Pages: 165-170
DOI: https://doi.org/10.52403/ijhsr.20251121
Giant Spigelian Hernia with Bilateral Inguinal Hernia: A Case Report
Dr. Joseph Francis1, Dr. Linta Maria David2, Dr. Sreenidhi S3
1MBBS, MS, Associate Professor, Department of General Surgery, Travancore Medical College, Kollam, Kerala.
2MBBS, Junior Resident, Department of General Surgery, Travancore Medical College, Kollam, Kerala.
3MBBS, DNB, Associate Professor, Department of Radiodiagnosis, Travancore Medical College, Kollam, Kerala.
Corresponding Author: Dr. Joseph Francis
ABSTRACT
Spigelian hernia itself is a rare subset of abdominal wall defect and the incidence of giant spigelian hernias reported are only fewer in number. While a universally accepted definition or specific size criterion for a "giant" Spigelian hernia is not rigidly standardized across all literature, the term typically denotes a hernia that is exceptionally large, often exceeding 10 cm in any dimension, leading to significant clinical manifestations, chronic incarceration, and particularly, "loss of domain." Here the authors are reporting a rare case of Giant spigelian hernia measuring 20 x 12 x 10 cm along with bilateral inguinal hernia – its workup, management and clinical outcome.
Key words: Giant spigelian hernias, Case report, Spigelian hernia with inguinal hernia, mesh repair