A spigelian hernia in an infant.
The case of a two-month old Japanese girl with a left side Spigelian hernia that developed during the course of recovery from the surgical treatment of a meningomyelocele and ventriculo-peritoneal shunting (V-P shunting) is reported on. At this time, to our knowledge, 20 cases involving infants and children have been reported on in world-wide medical literature. Of these cases, 4 cases were caused by trauma, 1 by abdominal surgery, and the others had no evident causes. Our patient had a meningomyelocele, and underwent a V-P shunting. However, a cause and effect relationship between the Spigelian hernia and the treatment of the meningomyelocele followed by V-P shunting is inconceivable. We doubt any relationship between the preceding neurosurgery and the development of the hernia. This is the first case of infantile Spigelian hernia reported on in Japan.
Azuma
T
T
Department of Surgery, Children's Medical Center of Osake City, Japan.
Nakamura
S
S
Hatakeyama
G
G
Nagahara
N
N
Nakamura
T
T
Yonekura
T
T
Kashiwai
A
A
Kawata
H
H
Tsuji
H
H
D005260:Female; D006555:Hernia, Ventral / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D007223:Infant; D008591:Meningomyelocele / Q000150:complications / Q000601:surgery; D014057:Tomography, X-Ray Computed; D017287:Ventriculoperitoneal Shunt