Hérnia de Spiegel associada a criptorquidia homolateral – a propósito de um caso clínico

Abstract

Spigelian hernia (SH) is an uncommon clinical entity, being particularly rare in children. While it may be associated with acquired factors, most pediatric cases appear to be due to congenital changes. SH is often associated with other congenital defects, the most frequent association being with ipsilateral cryptorchidism. The testis is often seen in the hernia sac, with no identifiable gubernaculum or inguinal canal in some cases. Given the risk of incarceration and strangulation of the contents of HS, its early diagnosis and timely treatment are essential. Treatment consists of hernia repair and extradartos orchidopexy, which should be conducted through a subcutaneous tunnel if the inguinal canal is not observed. The frequency of the association of HS and ipsilateral cryptorchidism suggests that the presence of the testis should always be confirmed at diagnosis. This association should also be taken into consideration in cases of cryptorchidism with non‐palpable testis in its normal route. In this article we present the case of an infant with a spigelian hernia associated with cryptorchidism, who underwent hernia correction and extra‐dartos orchidopexy.