title: Congenital Spigelian hernia associated with undescended testis.
abstract: BACKGROUND
  A Spigelian hernia (SH) is a ventral interstitial hernia through a defect in the Spigelian fascia; an undescended testis is sometimes associated with this clinical entity in male newborns. The etiopathogenesis, surgical anatomy, diagnostic methods, and treatment for this rare condition are discussed with a review of the literature.
  
  
  METHODS
  A 20-day-old newborn was admitted to our hospital for a swelling in the right lower abdomen and undescended testis. Physical examination of the abdomen and scrotum revealed a congenital SH associated with cryptorchidism.
  
  
  RESULTS
  Herniotomy, herniorrhaphy, and orchidopexy were performed. In the post-operative period, scrotal abscess occurred and was drained. After drainage, the fixed testis was found to be atrophic.
  
  
  CONCLUSIONS
  This association may be a distinct clinical syndrome. The operation time in cases of neonatal SH with undescended testis should be well planned because of probable surgical complications such as vascular damage, tension, or compression.
authors.affiliation: Department of Pediatric Surgery, Trakya University Faculty of Medicine, Edirne, Turkey. mustafainan@trakya.edu.tr
authors.forename: Mustafa
authors.initials: M
authors.lastname: Inan
authors.forename: Umit Nusret
authors.initials: UN
authors.lastname: Basaran
authors.forename: Burhan
authors.initials: B
authors.lastname: Aksu
authors.forename: Zafer
authors.initials: Z
authors.lastname: Dortdogan
authors.forename: Murat
authors.initials: M
authors.lastname: Dereli
mesh_terms: D003456:Cryptorchidism / Q000150:complications*; D006555:Hernia, Ventral / Q000150:complications* / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008297:Male