Incarcerated meckel’s diverticulum in a spigelian hernia: A rare case report

Josef T.K. Linkosh was first to refer this condition as a hernia in 1764. This hernia is also known as interparietal, interstitial, intermuscular or intramural hernia as it is usually located between the different muscle layers of the abdomen. Spigelian hernia is rare and its diagnosis is difficult because of its location and vague symptoms. As these hernias are situated between the muscular layers and are not obvious, therefore may be overlooked. The presence of strangulated meckel’s diverticulum in obstructed spigelian hernia is very rare phenomenon. C.T. scan and ultrasonography are helpful and diagnostic in surgical management of these patients. Surgery remains the only option and various surgical modalities available, are discussed in this article. As the condition is quit uncommon it is important to have high index of suspicion to diagnose the condition. The article is being presented for its rarity and clinical interest.