Spigelian Hernias Presenting as Surgical Emergencies.

The authors reflect on the difficulty in detecting the spigelian hernia, a rare abdominal wall defect in spigelian fascia. They stress that this condition go unrecognized due to the lack of specific physical findings. They emphasize that its unspecific clinical presentation, small size, and intramural location can make its detection extremely difficult. They assert that diagnosis of an incarcerated spigelian hernia is challenging because the symptom suggest many other diagnoses.