Case presentation of strangulated Spigelian hernia presenting with localized peritonitis repaired laparoscopically. Includes intra-operative images. Dr. Mohamad Al-Gailani FRCS الدكتور محمد الكيلاني Chief of Surgery Al Hammadi Hospital, Nuzha مستشفى الحمادي, النزهة Riyadh, KSA الرياض, المملكة العربية السعودية