Abstract：
BACKGROUND/PURPOSE:The purpose of this study is to present a summary of paediatric Spigelian hernia (SH) reported to date, and discuss possible aetiology of SH associated with ipsilateral ectopic testis (SH-ET). METHODS:Search of PubMed, Medline, Embase, and CINAHL was performed using keywords "Spigelian hernia". The following were extracted from articles describing paediatric SH: demographics, site and contents of SH, comorbidities, proposed aetiology, presence of ipsilateral inguinal canal (IC) and gubernaculum (G). RESULTS:There were 78 patients with 88 hernias (69 male, 19 female), including 55 male (19 left, 22 right, 7 bilateral) and 16 female (5 left, 5 right, 3 bilateral) nontraumatic SHs. In nontraumatic male SH, 29 hernias contained testis (10 left, 11 right, 4 bilateral), 15 did not, 10 had no data. Of 29 SH-EH, 15 were lacking IC and G, 3 were missing IC (no G data) and 2 had absent G (no IC data). The combination of SH and cryptorchidism is increasingly recognised as a distinct syndrome. However, there is controversy as to the pathogenic mechanism of this association. We hypothesise SH-ET develops because the G, and therefore IC and line of descent, become cranially 'mislocated' along the mammary line, which overlies the Spigelian fascia. CONCLUSION:SH is rare in children. SH-ET may result by testicular descent to an ectopic site along the embryological mammary line.
journal_name
J Pediatr Surgjournal_title
Journal of pediatric surgeryauthors
Jones BC,Hutson JMdoi
10.1016/j.jpedsurg.2014.10.059subject
Has Abstractpub_date
2015-02-01 00:00:00pages
325-30issue
2eissn
0022-3468issn
1531-5037pii
S0022-3468(14)00710-6journal_volume
50pub_type
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journal_title：Journal of pediatric surgery
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journal_title：Journal of pediatric surgery
pub_type： 杂志文章,评审
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doi：10.1016/j.jpedsurg.2007.08.022
更新日期：2007-12-01 00:00:00
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doi：10.1016/j.jpedsurg.2011.10.005
更新日期：2012-01-01 00:00:00
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journal_title：Journal of pediatric surgery
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更新日期：1999-06-01 00:00:00
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journal_title：Journal of pediatric surgery
pub_type： 杂志文章
doi：10.1016/0022-3468(90)90382-j
更新日期：1990-04-01 00:00:00
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doi：10.1016/j.jpedsurg.2009.01.017
更新日期：2009-09-01 00:00:00
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journal_title：Journal of pediatric surgery
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doi：10.1016/j.jpedsurg.2005.08.022
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pub_type： 杂志文章
doi：10.1016/j.jpedsurg.2010.08.054
更新日期：2011-04-01 00:00:00
abstract：AIM:Inadequate androgen activity is a likely cause of cryptorchidism in humans, affecting inguinoscrotal testicular descent. Flutamide, a nonsteroidal antiandrogen, produces cryptorchidism in rats. We aimed to determine the anatomical and histologic effects of flutamide. METHODS:Time-mated Sprague-Dawley female rats w...
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journal_title：Journal of pediatric surgery
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更新日期：1994-12-01 00:00:00
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journal_title：Journal of pediatric surgery
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更新日期：2010-11-01 00:00:00
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journal_title：Journal of pediatric surgery
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更新日期：2003-07-01 00:00:00
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journal_title：Journal of pediatric surgery
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pub_type： 杂志文章
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更新日期：2014-11-01 00:00:00
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journal_title：Journal of pediatric surgery
pub_type： 杂志文章
doi：10.1016/j.jpedsurg.2004.10.006
更新日期：2005-02-01 00:00:00
abstract：PURPOSE:Despite advances in neonatal care of congenital diaphragmatic hernia (CDH), a significant variation exists in the mortality rates reported by individual centers. Center experience (reflected by case volume) may contribute to this variation in outcome. The aim of the study was to determine whether CDH mortality ...
journal_title：Journal of pediatric surgery
pub_type： 杂志文章,多中心研究
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更新日期：2009-05-01 00:00:00
