Hypospadias associated undescended testis in a Spigelian hernia.
BACKGROUND
First described in 1764, Spigelian hernias are rare. The patient profile is of an overweight, 50-year-old with associated respiratory disease. However we report the case of a four-month-old, with an associated hypospadias and cryptorchidism, where the testis was lying in a spigelian hernia.


OBJECTIVE
To highlight this unusual presentation of cryptorchidism.


CONCLUSIONS
Embryological development is a complex event that relies on the sequencing of hormonal surges for anatomical development. In this case report we postulate that the findings are secondary to hormonal disruption.
O'Sullivan
O
O
Dept of Urology, Mid-Western Regional Hospital, Limerick. orfhlaith.osullivan@ucd.ie
Bannon
C
C
Clyne
O
O
Flood
H
H
D003456:Cryptorchidism / Q000196:embryology / Q000601:surgery*; D006062:Gonadotropins / Q000378:metabolism; D006555:Hernia, Ventral / Q000151:congenital* / Q000196:embryology / Q000601:surgery*; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male
D006062:Gonadotropins