Abdominal wall hernias account for most external hernias [1-3]. Diagnosis is usually made at physical examination; however, clinical diagnosis can be difficult, especially in patients with obesity, pain, or abdominal wall scarring [4]. In these cases, abdominal imaging may be the first clue to the correct diagnosis. In the past, conventional radiographs or barium studies were predominantly used in confirming or excluding abdominal wall hernias; currently, CT has assumed a dominant role.