A rare case of Spigelian hernia combined with direct and indirect inguinal hernias

Özet

Spigelian hernia is a rare type of ventral hernias with nonspecific symptoms and signs. Therefore, its diagnosis is often difficult and requires more clinical attention. Although intermittent abdominal swelling and pain are the mainsymptoms, Spigelian hernias can be sometimes asymptomatic and are discovered incidentally at the operation. Insome cases, these hernias can be associated with other abdominal wall hernias, therefore a detailed physical examination of the patients is necessary to avoid mistakes in diagnosis. Herein, we report an interesting and educationalcase of Spigelian hernia with accompanying ipsilateral both direct and indirect inguinal hernias in a male patienttreated by open surgical repair with use of polypropylene mesh.