title: Case report of ovary and fallopian tube as content of a Spigelian hernia - a rare entity.
abstract: BACKGROUND
  Spigelian hernia is a rare entity, comprising 1-2% of all hernias. Various abdominopelvic viscera herniate through the defect in the Spigelian fascia and become incarcerated. Specifically in females, the ovary and/or the fallopian tube can herniate through this defect. This is the third reported case of such a hernia.
  
  
  METHODS
  We report here a young lady aged 30 years with right-sided ovarian Spigelian hernia. She presented with a painful lump in the right lower quadrant of abdomen for 2 weeks. On examination, she had a tender irreducible lump below and to the right lateral to the umblilicus. CECT revealed a right-sided ovarian Spigelian hernia. The finding was confirmed at exploration and herniorrhaphy performed. She was discharged on the 3rd postoperative day.
  
  
  CONCLUSIONS
  Diagnosing Spigelian hernia clinically is challenging but radiologic investigations like computed tomography help establish the diagnosis and clarify the contents.
  
  
  CONCLUSIONS
  Spigelian hernia itself is a rare entity and to add to that, herniation of ovary and fallopian tube through Spigelian fascial defect is very rare and a possibility in females.
authors.affiliation: Om Hospital and Research Centre, Nepal. Electronic address: pralayakhadka@gmail.com.
authors.forename: Pralaya
authors.initials: P
authors.lastname: Khadka
authors.affiliation: Om Hospital and Research Centre, Nepal.
authors.forename: Sunil K
authors.initials: SK
authors.lastname: Sharma Dhakal
keywords: Case report; Fallopian tube; Hernia; Ovary; Spigelian