El nuevo síndrome de hernia de Spiegel congénita y criptorquidia. Análisis de 16 casos

Spigelian Hernia in a 14-Year-Old Girl: A Case Report and Review of the Literature

“… 5 11 19 24 On the basis of the musculoaponeurotic defect etiology, diverse factors that increase intra-abdominal pressure or deteriorate the abdominal wall are considered predisposing factors such as collagen disorders, changes in body weight, aging, chronic pulmonary disease, trauma, previous abdominal surgery, previous or concomitant hernias, and imperforate anus. 6 13 16 An association of cryptorchidism, umbilical hernia, inguinal hernia, gastroschisis, omphalocoele, meningomyelocele, congenital diaphragmatic hernia, and bladder or cloacal exstrophy have been reported for SH. 3 4 5 12 13 15 16 18 21 22 23 …”

“… 3 In children, SHs range is from newborn to 17 years of age (average, 4.52 years), they are more frequent in males than females (ratio, 3.7:1), and they are more commonly left-sided and may occur bilaterally in 15% of cases. 4 5 6 In adults, they most occur on the right side, between fourth to seventh decade of life, they are more frequent in women (ratio, 4:3) and are rarely bilateral. 4 7 8 Although adult hernias are considered to be acquired because of trauma or increased intra-abdominal pressure, the pediatric cases are suspected to be congenital.…”