Spigelian hernia in children: low versus classical
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Read the article on jpedsurg.org ↗Article · Jul 2018 · 1 min read
In brief
In brief
Seven-year case series of nine pediatric spigelian hernias identifies distinct anatomical variants: low spigelian hernias consistently associated with cryptorchidism versus classical presentation without testicular abnormalities. Recognition of this anatomical relationship may guide surgical approach and testicular positioning during repair.
Written by the GCMD Library team from the article.
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.