BILATERAL SPIGELIAN HERNIA - A RARE ENTITY

A 68 year old male hypertensive, presented to the casualty with two episodes of vomiting and constipation and history of abdominal pain for three days. He had a recent history of cough with green expectoration and was diagnosed with pneumonia. A lump was palpable in the left illiac fossa and radiological investigations suggested a bilateral spigelian hernia for which surgery was planned.