Background:

Spigelian hernia is a ventral hernia in the anterior abdominal wall extremely rare in children.

Clinic Case:

A 13 years old patient is presented with a Spigelian hernia. A surgical repair was successfully performed through a laparoscopic transperitoneal approach without prosthetic reinforcement. A review of 35 pediatric patients published on PubMed between 2000 and 2015 was performed and different therapeutic approaches in pediatric patients were analyzed. Only one patient, and the case reported on this paper, was entirely treated with a laparoscopic approach.

Conclusions:

Spigelian hernias in childhood can be securely closured with laparoscopic transperitoneal approach.