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Spigelian hernia is a rare type of ventral abdominal wall hernia. We report the case of an incarcerated Spigelian hernia without palpable abdominal mass diagnosed by computed tomography (CT) scan. Case Report: We report a case of a 63-year-old obese male patient with no particular pathological or surgical history received for bowel obstruction. The abdominal CT concluded to an incarcerated Spigelian hernia whereas this diagnosis was not considered at the clinical examination in the absence of visible or palpable mass on the anterolateral abdominal wall. Conclusion: This case report illustrates the key place of CT scan in this form of clinical presentation of Spigelian hernia.

Utility of CT in the diagnosis of an incarcerated Spigelian hernia without palpable abdominal mass