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Infertility in Males

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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...

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Spigelian-cryptorchidism syndrome: Lesson based on a case report.

Renato Farina¹, Monica Pennisi¹, Carla Desiderio¹

¹Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", University of Catania, Italy.

Radiology Case Reports

|June 3, 2024

Summary

This summary is machine-generated.

Spigelian hernia, a rare abdominal wall defect, can occur with cryptorchidism in males, forming Spigelian-Cryptorchidism Syndrome. Ultrasound is key for diagnosing this pediatric emergency, enabling timely surgical intervention.

Keywords:

Congenital anomalies Criptorchidism Spigelian hernia Ultrasound

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Area of Science:

Pediatric Surgery
Abdominal Wall Disorders
Congenital Abnormalities

Background:

Spigelian hernia arises from a discontinuity in the Spigelian fascia, lateral to the rectus abdominis muscle.
This condition can be acquired in adults or congenital in newborns.
A rare association in males with cryptorchidism is termed Spigelian-Cryptorchidism Syndrome.

Observation:

Clinical presentation may include abdominal wall swelling along the semilunar line and signs of intestinal obstruction.
Diagnosis in pediatric emergencies requires promptness, with ultrasound being the preferred imaging modality.
Ultrasound facilitates rapid localization of the hernia defect and herniated contents.

Findings:

The study details the ultrasound characteristics of Spigelian-Cryptorchidism Syndrome.
This syndrome presented with acute intestinal obstruction in a newborn.
Ultrasound enabled precise identification of the hernia and associated testicular malposition.

Implications:

Timely diagnosis via ultrasound is crucial for effective management of Spigelian-Cryptorchidism Syndrome.
Surgical treatment involves herniopexy and repositioning of the testicle (orchiopexy), with testicular necrosis management.
This highlights the importance of recognizing this rare syndrome for optimal pediatric surgical outcomes.