20 March 2026
: Case report 
Simultaneous Management of May-Thurner Syndrome and Spigelian Hernia: A Case Report
Rare coexistence of disease or pathology
John French DEF 1, Pravin Meshram ABDEF 1, Rubeena Naaz DEF 1, Muhammad Rizwan ABCDEF 1, Sean Nguyen
CD 1, Alexis Knutson AEF 2, Jafar Golzarian D 3, James Harmon ABDEF 1*
DOI: 10.12659/AJCR.949258
Am J Case Rep 2026; 27:e949258
Figure 4 Intraoperative image of laparoscopic mesh repair of a Spigelian hernia. The top of the image is cephalad, and the left side is medial. Black arrows indicate the arcuate line, white arrows denote the semilunar line, and the asterisk marks the suture-repaired hernia site with adequate mesh overlap.