The incidence of contralateral hernia is approximately 10% and in our study it is approximately 1.7%. There is a significant difference between the occurrence of contralateral hernia in preterm compared with term infants (P = 0.03). We think that the incidence is still too low to recommend routine contralateral exploration.

The main problem in the diagnosis is differentiating this lesion from soft tissue sarcomas, which require an aggressive therapeutic approach. Both surgeons and pathologists need to be aware of the existence of such benign condition in this unusual place to avoid unnecessary therapies.

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In this article, we report the invasive behaviour of a plant, not described before, which elicited a severe inflammatory response in the colonic wall, and was clinically diagnosed as a mass lesion in a four-year-old girl. Although rectal bezoars are the most frequent complications of ingested dried seeds, this plant behaviour should also be borne in mind in rare occassions.

No abstract