Document Detail


Spigelian-cryptorchidism syndrome: a case report and discussion of the basic elements in a possibly new congenital syndrome.
MedLine Citation:
PMID:  20680633     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pediatric cases of Spigelian hernias are rare. Only a few reports on this condition, in combination with ipsilateral cryptorchidism and testis in the hernia sac, have been published. We report on Spigelian hernia in a 3-week-old boy containing both the ipsilateral testis, without a gubernaculum and an incarcerated loop of the small intestine. It has been suggested that the combination of Spigelian hernia and ipsilateral cryptorchidism is part of a new syndrome. We discuss whether the lack of a gubernaculum and an inguinal canal reported in other similar cases may be additional elements of this new syndrome. We present a comprehensive overview of pediatric patients with Spigelian-cryptorchidism syndrome reported in the English language literature. In 75% of male infants with Spigelian hernia, there is an associated ipsilateral cryptorchidism, and in 87% of these patients, the testis is found inside the hernia sac. Thus, the surgeon dealing with a congenital Spigelian hernia should look for an undescended testis and be prepared to find it in the hernia sac.
Authors:
C Rushfeldt; G Oltmanns; B Vonen
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-08-03
Journal Detail:
Title:  Pediatric surgery international     Volume:  26     ISSN:  1437-9813     ISO Abbreviation:  Pediatr. Surg. Int.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-19     Completed Date:  2010-12-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8609169     Medline TA:  Pediatr Surg Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  939-42     Citation Subset:  IM    
Affiliation:
Department of Gastroenterological Surgery, University Hospital of North Norway, Tromsø, Norway. ch-rushf@online.no
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MeSH Terms
Descriptor/Qualifier:
Cryptorchidism / diagnosis,  surgery*
Hernia, Ventral / diagnosis,  surgery*
Humans
Infant, Newborn
Intestinal Obstruction / diagnosis,  surgery
Intestine, Small / surgery
Male
Syndrome
Testis / abnormalities,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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