Spigelian Hernia-Undescended Testis Syndrome: A Case Report and Review of the Literature

Authors

  • Md Sharif Imam Assistant Professor, Department of Paediatric Surgery, Chattogram Maa-O-Shishu Hospital Medical College, Agrabad, Chattogram, Bangladesh https://orcid.org/0000-0002-3973-6133
  • Rupam Talukder Associate Professor, Department of Paediatric Surgery, Chittagong Medical College and Hospital, Chattogram, Bangladesh
  • Tahmina Banu Professor, Chittagong Research Institute for Children Surgery, Chattogram, Bangladesh

Keywords:

Spigelian Hernia, Undescended Testis Syndrome, Spigelian Hernia-Undescended Testis Syndrome

Abstract

Spigelian hernia–undescended testis syndrome is a rare congenital anomaly, with 59 pediatric cases documented in the literature to date. In this case, we present a 22-month-old boy with a painless, reducible right lower quadrant swelling present since birth and an empty right hemiscrotum. An ultrasound confirmed a Spigelian hernia with herniated bowel and a right-sided ectopic testis. During surgical exploration, we found the Spigelian hernia contained bowel, the appendix, and the ectopic testis, along with a hypoplastic gubernaculum and an absent inguinal canal. We performed primary repair of the hernial defect and subdartos orchidopexy. The child recovered well, and follow-up after three months showed both testicles properly positioned within the scrotum, highlighting the importance of early diagnosis and intervention.

Journal of Paediatric Surgeons of Bangladesh (2026) Vol. 17 (2): 103-106

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Published

2026-09-23

Issue

Vol. 17 No. 2 (2026)

Section

Case Reports

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How to Cite

Imam, M. S. ., Talukder, R. ., & Banu, T. . (2026). Spigelian Hernia-Undescended Testis Syndrome: A Case Report and Review of the Literature. Journal of Paediatric Surgeons of Bangladesh, 17(2), 103-106. https://doi.org/10.3329/jpsb.v17i2.93382