case_images: PMC11044791_01
case_images: Ultrasonography of the abdomen shows a heterogeneously hyperechoic lesion (white arrow).
case_images: 10.1177_2050313X241249099-fig1.jpg
case_images: PMC11044791_01_10.1177_2050313X241249099-fig1.jpg
case_images: fig1-2050313X241249099
case_images: An abdominal ultrasonography (USG) (Figure 1) revealed a heterogeneously hyperechoic lesion measuring 55 mm x 44 mm x 11 mm with an internal linear strand noted in the lower right infra umbilical abdominal wall.
case_images: Intraoperative images: (a) and (b) Spigelian hernia with omentum (b:white arrow). (c) Repair of defect with preperitoneal mesh (white arrow). (d) Closure of incision site with suction drain.
case_images: 10.1177_2050313X241249099-fig2.jpg
case_images: PMC11044791_01_10.1177_2050313X241249099-fig2.jpg
case_images: fig2-2050313X241249099
case_images: Intra-operatively, an atypical ventral hernia with omentum was found on opening the external oblique muscle aponeurosis (Figure 2(a) and (b)). The sac was brought back to the abdominal cavity and approximated, followed by the application of a pre-peritoneal nonabsorbable polypropylene mesh to treat the defect (Figure 2(c)). Finally, a Romo Vac Set  (GS-5002) suction drain was fixed (Figure 2(d)).