A rare discovery of Spigelian-cryptorchidism syndrome in adult

• Main Authors: Rajan Gurung, Aishath Azna Ali, Fei, Yee Lee, Aung Mra, Mohd Firdaus Mohd Hayati
• Format: Article
• Language: English; English
• Published: Elsevier Inc. 2021
• Subjects: R Medicine (General); RD Surgery
• Online Access: https://eprints.ums.edu.my/id/eprint/27301/1/A%20rare%20discovery%20of%20Spigelian-cryptorchidism%20syndrome%20in%20adult%20FULL%20TEXT.pdf; https://eprints.ums.edu.my/id/eprint/27301/2/A%20rare%20discovery%20of%20Spigelian-cryptorchidism%20syndrome%20in%20adult%20ABSTRACT.pdf; https://eprints.ums.edu.my/id/eprint/27301/; https://reader.elsevier.com/reader/sd/pii/S2214442021001273?token=7799807A6B69E82849F8E852E3E251AA04AF3BDEC99C25014192D3592DB775AEC09B8D12E87EB8C1586A68FA92253D0D&originRegion=eu-west-1&originCreation=20210617070538; https://doi.org/10.1016/j.eucr.2021.101687

Spigelian hernia (SH) occurs due to the protrusion through a congenital or acquired defect or weakness in the Spigelian aponeurosis. SH accounts for only 0.1–0.4% of occurrence and a 17–24% risk of strangulation. We hereby report a case of a 34-year-old gentleman presented with concomitant incarceration of the omentum with small intestine and testis in Spigelian hernia sac. We have successfully operated on this patient via a transperitoneal approach with a small incision over the hernia site. This incision could be an alternative to midline laparotomy as a safe and effective method in managing incarcerated SH in an emergency setting.