Undescended Testis Accompanying Congenital Spigelian Hernia: Is It a Reason, a Result, or a New Syndrome

European Journal of Pediatric Surgery, 04/26/2012

Neither the theories suggesting that Spigelian hernia (SH) leads to an undescended testis (UT) nor those suggesting that an UT leads to a SH are satisfactory. The authors believe that this coexistence may be the congenital Spigelian–cryptorchidism syndrome seen in boys. As in the four cases presented here, elements of this syndrome are defects in the Spigelian fascia and the hernia sac enveloping the testis and an absence of the gubernaculum and the inguinal canal.

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