Traumatic spigelian hernia in an adolescent following a blunt abdominal trauma: a rare case report and literature review

Spigelian hernias are rare anterior abdominal wall hernias, accounting for less than 2% of all hernias. Traumatic spigelian hernias are exceptionally uncommon and usually result from blunt abdominal trauma.
We report the case of a 15-year-old male who presented with right lower quadrant abdominal pain following blunt trauma. Imaging revealed a traumatic spigelian hernia associated with an ileal mesenteric defect. The patient underwent exploratory surgery, and the hernia was successfully repaired.
This case highlights the importance of maintaining a high index of suspicion for traumatic abdominal wall hernias, especially in adolescents presenting after blunt trauma. A review of published literature is also provided to summarize typical presentations, diagnostic approaches, and management strategies.