Neonatal bilateral spigelian hernia associated with undescended testes and scalp aplasia cutis.


Fascetti-Leon F et al. Neonatal Bilateral Spigelian Hernia Associated ... Eur J Pediatr Surg 2010; 20: 123 – 125 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 defi ned: 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-eff ect 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] .

DOI: 10.1055/s-0029-1220674

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@article{FascettiLeon2010NeonatalBS, title={Neonatal bilateral spigelian hernia associated with undescended testes and scalp aplasia cutis.}, author={Francesco Fascetti-Leon and Dalia Gobbi and Pier Giorgio Gamba and Giovanni Cecchetto}, journal={European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift für Kinderchirurgie}, year={2010}, volume={20 2}, pages={123-5} }