Department of Pediatric Surgery, Trakya University Faculty of Medicine, Edirne, Turkey.
World J Pediatr. 2012 May;8(2):185-7. doi: 10.1007/s12519-011-0313-5. Epub 2011 Aug 27.
A Spigelian hernia (SH) is a ventral interstitial hernia through a defect in the Spigelian fascia; an undescended testis is sometimes associated with this clinical entity in male newborns. The etiopathogenesis, surgical anatomy, diagnostic methods, and treatment for this rare condition are discussed with a review of the literature.
A 20-day-old newborn was admitted to our hospital for a swelling in the right lower abdomen and undescended testis. Physical examination of the abdomen and scrotum revealed a congenital SH associated with cryptorchidism.
Herniotomy, herniorrhaphy, and orchidopexy were performed. In the post-operative period, scrotal abscess occurred and was drained. After drainage, the fixed testis was found to be atrophic.
This association may be a distinct clinical syndrome. The operation time in cases of neonatal SH with undescended testis should be well planned because of probable surgical complications such as vascular damage, tension, or compression.
Spigelian 疝（SH）是通过 Spigelian 筋膜缺陷的腹侧间疝；在男性新生儿中，这种临床实体有时与未降睾丸有关。本文通过文献复习，讨论了这种罕见疾病的病因、发病机制、手术解剖、诊断方法和治疗。
一名 20 天大的新生儿因右下腹部肿胀和未降睾丸而入院。腹部和阴囊的体格检查显示先天性 SH 合并隐睾。
进行了疝切开术、疝修补术和睾丸固定术。术后发生阴囊脓肿并进行引流。引流后发现固定睾丸萎缩。
这种关联可能是一种独特的临床综合征。对于新生儿 SH 合并隐睾的病例，由于可能出现血管损伤、张力或压迫等手术并发症，手术时间应合理规划。
