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

Authors

• Md Sharif ImamAssistant Professor, Dept. of Paediatric Surgery Chattogram Maa-O-Shishu Hospital Medical College Chattogram, Bangladesh
• Rupam TalukderAssociate Professor, Dept. of Paediatric Surgery Chittagong Medical College and Hospital Chattogram, Bangladesh
• Tahmina BanuDirector Chittagong Research Institute for Children Surgery (CRICS) Chattogram, Bangladesh

Keywords

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