Spigelian-cryptorchidism syndrome: Lesson based on a case report

Renato Farina, MD; Monica Pennisi, MD; Carla Desiderio, MD; Pietro Valerio Foti, PhD; Mattia D'Urso, MD; Corrado Inì, MD; Claudia Motta, MD; Sebastiano Galioto, MD; Alfredo Garofalo, MD; Mariangela Clemenza, MD; Adriana Ilardi, MD; Salvatore Lavalle, PhD; Antonio Basile, PhD

Radiology Case Reports (Aug 2024)

Spigelian-cryptorchidism syndrome: Lesson based on a case report

Renato Farina, MD,
Monica Pennisi, MD,
Carla Desiderio, MD,
Pietro Valerio Foti, PhD,
Mattia D'Urso, MD,
Corrado Inì, MD,
Claudia Motta, MD,
Sebastiano Galioto, MD,
Alfredo Garofalo, MD,
Mariangela Clemenza, MD,
Adriana Ilardi, MD,
Salvatore Lavalle, PhD,
Antonio Basile, PhD

Affiliations

Renato Farina, MD: Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, University of Catania, Italy; Corresponding author.
Monica Pennisi, MD: Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, University of Catania, Italy
Carla Desiderio, MD: Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, University of Catania, Italy
Pietro Valerio Foti, PhD: Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, University of Catania, Italy
Mattia D'Urso, MD: Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, University of Catania, Italy
Corrado Inì, MD: Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, University of Catania, Italy
Claudia Motta, MD: Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, University of Catania, Italy
Sebastiano Galioto, MD: Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, University of Catania, Italy
Alfredo Garofalo, MD: Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, University of Catania, Italy
Mariangela Clemenza, MD: Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, University of Catania, Italy
Adriana Ilardi, MD: Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, University of Catania, Italy
Salvatore Lavalle, PhD: Università degli Studi di Enna, Kore, Italy
Antonio Basile, PhD: Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, University of Catania, Italy

Journal volume & issue: Vol. 19, no. 8
pp. 3372 – 3375

Abstract

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The Spigelian hernia is a abdominal wall hernia that originates from a discontinuity of the Spigelian fascia located lateral to the rectus abdominis muscle. It can be acquired in adults or congenital in newborns. In very rare cases in male it can be associated with cryptorchidism, in which case it is known as “Spigellian-Cryptorchidism Syndrome”. It can be clinically highlighted with abdominal swelling wall along the semilunar line and intestinal obstruction. The diagnosis, as in all pediatric emergencies, must be timely and the method of choice is ultrasound which allows a rapid localization of the hernia breach and herniated structures. The treatment of choice is surgical with herniopexy and repositioning of the testicle into the scrotal sac, or orchipessy in cases of testicular necrosis. We describe ultrasound characteristics of Spigellian-cryptorchidism syndrome presenting with acute intestinal obstruction in a newborn.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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