A not so common abdominal wall hernia with a diagnostic dilemma! – Irreducible Spigelian hernia

A Spigelian hernia, a rare variant of an abdominal wall hernia, tends to be a diagnostic challenge for many surgeons. Protruding through the spigelian fascia, between the semilunar line laterally, and the lateral border of the rectus medially, this condition pre-sents unlike most other hernias, due to the tensile strength of the anteriorly placed external oblique fascia. We present such a case which was clinically diagnosed as a subcutaneous lipoma causing a diagnostic dilemma, along with a relevant review of literature.