It is reported that ~50% (range 28-75%) range of pediatric patients with Spigelian hernias will have ipsilateral cryptorchidism 1,2.
Spigelian hernia occurs with the failure of the development of the gubernaculum, which in turn halts the development of the inguinal canal and further descent of the testis from its intra-abdominal position to the scrotum. The arrested testis induces a sort of "rescue canal" through a weak area in the abdominal wall in the absence of inguinal canal resulting Spigelian hernia 1.
- 1. Rushfeldt C, Oltmanns G, Vonen B. Spigelian-cryptorchidism syndrome: a case report and discussion of the basic elements in a possibly new congenital syndrome. Pediatr. Surg. Int. 2010;26 (9): 939-42. doi:10.1007/s00383-010-2681-7 - Free text at pubmed - Pubmed citation
- 2. Raveenthiran V. Congenital Spigelian hernia with cryptorchidism: probably a new syndrome. Hernia. 2005;9 (4): 378-80. doi:10.1007/s10029-005-0316-z - Pubmed citation
- 3. Parihar D, Kadian YS, Raikwar P et-al. Congenital spigelian hernia and cryptorchidism: another case of new syndrome. APSP J Case Rep. 2014;4 (3): 41. Free text at pubmed - Pubmed citation