Eur J Pediatr Surg 2011; 21(3): 194-196
DOI: 10.1055/s-0031-1271634
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Undescended Testis in Spigelian Hernia – A Report of 2 Cases and Review of the Literature

A. K. Singal1 , V. R. Ravikumar2 , V. Kadam3 , V. Jain3
  • 1MGM Hospital, Pediatric Surgery, Navi Mumbai, India
  • 2GKNM Hospital, Pediatric Surgery, Coimbatore, India
  • 3MGM University of Health Sciences, Pediatric Surgery, Kamothe, India
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Publikationsverlauf

Publikationsdatum:
18. Februar 2011 (online)

Spigelian hernias are usually seen in elderly people, generally after the age of 50. As such, they are rare in children and less than 40 cases have been reported [1] [2] [3]. Age range varies form neonatal age to adolescence [1]. Up to 15% of these were bilateral in nature and they were reported more frequently in males [1] [2] [3]. The usual contents of the hernial sac are pre-peritoneal fat, small bowel, colon or omentum [1]. A few recent reports have described the factors leading to a high incidence of cryptorchidism in such cases [2] [3].

We report 2 cases where the hernial sac contained testis, which is a rare presentation, and discuss the relevant literature.

References

  • 1 Losanoff JE, Richman BW, Jones JW. Spigelian hernia in a child: case report and review of the literature.  Hernia. 2002;  6 191-193
  • 2 Raveenthiran V. Congenital Spigelian hernia and cryptorchidism: a distinct clinical syndrome.  J Pediatr Surg. 2007;  42 1794-1795
  • 3 Rushfeldt C, Oltmanns G, Vonen B. Spigelian-cryptorchidism syndrome: A case report and discussion of the basic elements in a possibly new congenital syndrome.  Pediatr Surg Int. 2010;  26 939-942
  • 4 Silberstein PA, Kern IB, Shi EC. Congenital Spigelian hernia with cryptorchidism.  J Pediatr Surg. 1996;  31 1208-1210
  • 5 Ostlie DJ, Zerella JT. Undescended testicle associated with Spigelian hernia.  J Pediatr Surg. 1998;  33 1426-1428
  • 6 Al-Salem AH. Congenital Spigelian hernia and cryptorchidism: cause or coincidence?.  Pediatr Surg Int. 2000;  16 433-436
  • 7 Levy G, Nagar H, Blachar A. et al . Preoperative sonographic diagnosis of incarcerated neonatal spigelian hernia containing the testis.  Pediatr Radiol. 2003;  33 407-409
  • 8 Torres de Aguirre A, Cabello Laureano R, Garcia Valles C. et al . Spigelian hernia: two cases associated to cryptorchidism.  Cir Pediatr. 2005;  18 99-100
  • 9 Durham MM, Ricketts RR. Congenital Spigelian hernias and cryptorchidism.  J Pediatr Surg. 2006;  41 1814-1817
  • 10 Larson DW, Farley DR. Spigelian hernias: Repair and outcome for 81 patients.  World J Surgery. 2002;  26 1277-1281

Correspondence

Dr. Arbinder Kumar SingalM.Ch 

MGM Hospital

Pediatric Surgery

RH-5 O-26, Sector-7

Vashi Navi Mumbai

400703 Navi Mumbai

India

Telefon: + 91 932 326 9944

Fax: + 91 222 782 0520

eMail: arbinders@gmail.com

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