Pediatric Spigelian hernia: A case report and review of the literature

Shea, Brian; Fasano, Genevieve A.; Cohen, Ian T.

doi:10.1016/j.epsc.2017.01.014

Cited by 4 publications

(4 citation statements)

References 13 publications

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“…Abdominal radiographs might indicate the presence of relevant complications. 46,47 Figure 2: CT images showing greater omental torsion (red arrow) following inguinal hernia. 43 Femoral hernias usually develop secondary to a protrusion into the femoral canal through the femoral ring.…”

Section: Discussionmentioning

confidence: 99%

Clinical and radiological features of incarcerated hernia

Ahmad

Alqhtani

Alzunidi

et al. 2022

Int J Community Med Public Health

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Many complications were reported secondary to herniation, including strangulation and incarceration, leading to intestinal obstruction and related clinical manifestations. Treating such cases is largely dependent on appropriately diagnosing and evaluating them to enhance the prognosis and prevent a recurrence. In the present literature review, we have discussed incarcerated hernias' clinical and radiological features. Physical examination is very important in establishing the diagnosis of these events and obtaining a thorough history from the patient. Most patients present with abdominal pain, tenderness, and erythematous changes. Signs of intestinal obstruction might also be reported when this complication develops. Signs include acute abdominal pain, nausea, and vomiting. Radiological findings might show the presence of air to fluid appearance. Clinicians should be aware of these clinical manifestations and perform an adequate physical examination to establish a proper diagnosis and manage these cases. The process of decision-making is important before deciding the most appropriate management approach. Therefore, it is important to assess patients before moving to the next steps.

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Section: Discussionmentioning

confidence: 99%

Clinical and radiological features of incarcerated hernia

Ahmad

Alqhtani

Alzunidi

et al. 2022

Int J Community Med Public Health

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“…The average age for congenital SH presentation is 4.52 years but ranges from newborns to 17-year-olds [7]. A baby with reducible anterior abdominal wall swelling and UDT should increase the clinician's suspicion [5]. Presentation varies from asymptotic to symptomatic (localized abdominal pain and bulge along the lateral border of rectus abdominis, intermittently) [12].…”

Section: Discussionmentioning

confidence: 99%

“…In 1895, the first case of SH with ipsilateral UDT was reported by Schoofs [ 4 ]. This type is uncommon, with a frequency of about 1%-2% [ 5 ]. The cause can be acquired or congenital, and as in the pediatric group, the causes remain unclear, and many hypotheses have been put forward.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Orchidopexy in Spigelian Hernia-Undescended Testis Syndrome

Taha

Algethami²,

AlQurashi³

et al. 2021

Cureus

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Spigelian hernia-undescended testes (SH-UDT) syndrome is a rare disorder, with only 57 cases reported in the literature. The presentation can be asymptomatic or symptomatic in the form of pain, tenderness, or a lump. We present a case of a 50-day-old boy with SH-UDT syndrome. The patient presented with signs and symptoms of acute intestinal obstruction. Exploration confirmed a Spigelian hernia containing small bowel loops and right undescended testis. Orchidopexy was done after ligation of the hernial sac. A follow-up visit after two years revealed right testicular atrophy.

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“…The SH is defined by the protrusion of an organ or fat through a congenital or acquired defect in the semilunar line (the aponeurosis of the transverse abdominal muscle); it is rarely seen in children and extremely uncommon in neonate where it is suspected to be congenital. [1][2][3] Several congenital associated anomalies are well-known especially the association of ipsilateral undescended testis and SH (Raveenthiran syndrome) but the relationship between them is still debated. [2] Herein we report a case of Raveenthiran syndrome associated with other anomalies.…”

Section: Introductionmentioning

confidence: 99%

Congenital Spigelian hernia in a neonate associated with several anomalies: A case report

et al. 2021

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Background: Spigelian hernia (SH) is a rare entity characterized by a defect of the anterior abdominal wall located along the Spigelian line, it may be congenital or acquired.Association with other anomalies is worth reporting. Case Presentation: A 22-day-old male newborn was admitted with strangulated right inguinal hernia and operated on emergently. Clinical examination also revealed a Spigelian hernia in the left lower abdominal quadrant with bilateral cryptorchidism, associated with polydactyly of the small right finger and anal stenosis. At surgery, the SH contained a part of the small intestine and the ipsilateral undescended testis. Conclusion: Pediatric SH is rare, but its association with undescended ipsilateral testis is frequent. Other abnormalities can be concomitant to this association.

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Pediatric Spigelian hernia: A case report and review of the literature

Cited by 4 publications

References 13 publications

Clinical and radiological features of incarcerated hernia

Clinical and radiological features of incarcerated hernia

Outcome of Orchidopexy in Spigelian Hernia-Undescended Testis Syndrome

Congenital Spigelian hernia in a neonate associated with several anomalies: A case report

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