Related Experiment Video
Updated: May 29, 2026
07:21
Clinical Application of 24 G Cannula Needle and 3-0 Polypropylene Suture in Vas Deferens Exploration
Published on: February 10, 2023
Congenital Spigelian hernia associated with undescended testis
Mustafa Inan1, Umit Nusret Basaran, Burhan Aksu
1Department of Pediatric Surgery, Trakya University Faculty of Medicine, Edirne, Turkey. mustafainan@trakya.edu.tr
World Journal of Pediatrics : WJP
|August 30, 2011
Summary
A congenital Spigelian hernia (SH) in newborns is often linked with an undescended testis. Surgical repair requires careful planning to prevent complications like testicular atrophy.
Area of Science:
- Pediatric Surgery
- Neonatal Urology
Background:
- Spigelian hernia (SH) is a rare ventral interstitial hernia through the Spigelian fascia.
- Undescended testis (cryptorchidism) is an occasional comorbidity in male newborns with SH.
- Literature review covers etiopathogenesis, surgical anatomy, diagnostics, and treatment of SH.
Observation:
- A 20-day-old male infant presented with right lower abdominal swelling and undescended testis.
- Physical examination confirmed a congenital Spigelian hernia associated with cryptorchidism.
Findings:
- Surgical repair involved herniotomy, herniorrhaphy, and orchidopexy.
- Postoperative complications included a drained scrotal abscess.
- The testis was noted to be atrophic after abscess drainage.
Implications:
- The association of Spigelian hernia and undescended testis may represent a distinct clinical syndrome.
- Neonatal Spigelian hernia repair necessitates meticulous surgical planning to mitigate risks.
- Potential complications include vascular damage, tension, or compression, impacting testicular viability.
Related Concept Videos
01:19Testes: Gross Anatomy
The testes, also known as testicles, are the male gonads. They are housed within the scrotum, a sac-like structure located beneath the penis. The scrotum's primary role is to regulate the temperature of the testes, which is crucial for sperm production.
Each testis is surrounded by the tunica albuginea, a dense connective tissue layer that provides structural support and protection. This layer is covered by an outer serous membrane called the tunica vaginalis, which helps reduce friction...
Each testis is surrounded by the tunica albuginea, a dense connective tissue layer that provides structural support and protection. This layer is covered by an outer serous membrane called the tunica vaginalis, which helps reduce friction...
01:27Testes: Histology
A tough, fibrous membrane, the tunica albuginea, covers the testes, extending inward to form fibrous partitions or septa, dividing them into internal compartments called lobules. Each lobule has 1 to 3 tightly coiled seminiferous tubules where sperm production occurs. These tubules merge into a tubular network at the back of the testis, known as the rete testis. It connects to 15 to 20 efferent ductules, leading to the epididymis.
The spermatogenic cells, responsible for producing sperm, are...
The spermatogenic cells, responsible for producing sperm, are...
01:15Development of the Sexual Organs in the Embryo and Fetus
Development of the reproductive organs in an embryo starts from a bipotential state. This means the early embryo can develop either male or female reproductive organs. The formation of these organs begins with the growth of gonadal ridges that arise from the intermediate mesoderm during the fifth week of development.
Near the gonadal ridges, two duct systems are present: the mesonephric ducts (Wolffian ducts) and paramesonephric ducts (Müllerian ducts). These ducts form the basis for the male...
Near the gonadal ridges, two duct systems are present: the mesonephric ducts (Wolffian ducts) and paramesonephric ducts (Müllerian ducts). These ducts form the basis for the male...
01:25Hiatal Hernia
A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...
01:20Disorders of the Male Reproductive System
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra. Symptoms...
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra. Symptoms...
01:23Infertility in Males
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...