eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2018-03-31 6 2 36 38 10.12691/ajmcr-6-2-7 AJMCR2018627 article Murat Ferhat Ferhatoglu ferhatferhatoglu@yahoo.co.uk 1 Okan University, Faculty of Medicine, Department of General Surgery, Istanbul, Turkey Abdominal wall hernias are one of the most common reason for surgery globally. Spigelian hernia is a rare kind of this disease with an incidence of less than 2%. Because of its unic anatomical characteristics, it can be misdiagnosed or overlooked by physicians. Developments in radiological diagnostic tools facilitate correct and early diagnosis. Herein we presented a 76 year-old Spigelian hernia case and discussed anatomical characteristics, diagnosis and treatment methods of this rare kind of hernia with the literature knowledge. http://pubs.sciepub.com/ajmcr/6/2/7/ajmcr-6-2-7.pdf Hernia incarceration Spigelian Spigelian hernia