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DOI: 10.1055/s-0029-1220674
© Georg Thieme Verlag KG Stuttgart · New York
Neonatal Bilateral Spigelian Hernia Associated with Undescended Testes and Scalp Aplasia Cutis
Publikationsverlauf
Publikationsdatum:
09. Juni 2009 (online)
Introduction
Spigelian hernia (SH) is a very rare entity in children and infants. A recent report found only 30 pediatric patients described in the English literature [3]. In males (the M:F ratio is 2:1), the association rate with cryptorchidism is 80%. The site of the defect in the lateral abdominal wall is well defined: the intersection between the semilunar and the lateral edge of the rectus abdominis muscle is always the weakness point of the abdominal wall in these patients. A cause-and-effect relation between cryptorchidism and the abdominal defect has been suggested; however the pathogenic pathway is still far from clear.
To contribute to the knowledge of this entity and its possible malformative associations we present a patient from our Department in whom bilateral Spigelian hernias were found at birth. In addition to bilateral cryptorchidism, the newborn had aplasia cutis congenita (ACC) of the scalp: this malformation is a rare entity, localized in the scalp in around 75% of cases [4], and previously described in association with other abdominal wall defects [2].
