Purpose: Pediatric spigelian hernias are very rare. They are often missed or misdiagnosed. A series of cases with spigelian hernia, presented to a tertiary care center are presented here with emphasis on different anatomy of spigelian hernias with cryptorchidism and those without associated cryptorchidism.
Materials And Methods: Over a period of seven years, nine cases of spigelian hernia presented to our tertiary care center. Male:female ratio was 3:1.There was a preponderance of right sided hernias. Three patients had associated cryptorchidism. One patient had associated lumbar hernia. All three patients with cryptorchidism had low spigelian hernia while others had classical spigelian hernia.
Conclusion: There is a likelihood of anatomical variation in SH associated with UDT and those without UDT. Understanding this anatomy may help in correct scrotal placement of testis.
Type Of Study: Prospective Observational.
Level Of Evidence: 4.
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http://dx.doi.org/10.1016/j.jpedsurg.2018.06.016 | DOI Listing |
J Surg Case Rep
January 2025
Division of Acute Care Surgery, Department of Surgery, University of Nebraska Medical Center, Omaha, NE 68198, United States.
Spigelian hernias are rare clinical entities; vague symptomatology and unreliable clinical examination ensure difficult diagnosis. Computed tomography (CT) is critical for accurate diagnosis. Surgical repair is mandated given the high risk of visceral organ incarceration.
View Article and Find Full Text PDFBMJ Case Rep
January 2025
Pediatric Surgical Services, Mary Bridge Children's Hospital and Health Center, Tacoma, Washington, USA
Spigelian hernia and cryptorchidism syndrome in children is increasingly reported in the literature. A variety of phenotypes have been reported, so diagnostic approaches and operative techniques remain poorly defined. The case of an infant male who presented with a left spigelian hernia and ipsilateral cryptorchidism who was initially misdiagnosed with an ectopic inguinal testis is presented.
View Article and Find Full Text PDFANZ J Surg
December 2024
Department of Surgery, Bathurst Base Hospital, Bathurst, New South Wales, Australia.
A Spigelian hernia is a rare abdominal wall defect that can be challenging to identify and repair. In this article, we demonstrate a straightforward method to repair these difficult hernias. This technique has shown excellent outcomes over a 10-year period.
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December 2024
MRCS, Trauma and Orthopaedic Registrar, Nasser institute Hospital, Cairo, Egypt.
Spigelian hernia is an uncommon form of ventral hernia, with an incidence ranging from 0.1% to 2%. This case report describes a 72-year-old female who presented with an obstructed right Spigelian hernia, a left Spigelian hernia, and an uncomplicated Meckel's diverticulum, along with the management approach.
View Article and Find Full Text PDFSpigelian hernia is a rare type of abdominal hernia; diagnosis is primarily through computed tomography, which is crucial for accurate diagnosis and planning early surgical intervention to preserve the herniated sac's contents.
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