English

Abstract

Occurrence of Spigelian Hernia is rare accounting for 0.12% of all ventral hernias 1 . It is most commonly reported in adults while pediatric cases are rare. Though the association of Spigelian-Cryptorchidism syndrome has been comprehensively reported in pediatric patients, the same has not been detailed so far for the adult patient population. We herein discuss two cases of Spigelian hernia, both adults in whom intra-operative exploration revealed associated ipsilateral undescended testis. Not only is the pre-operative diagnosis seldom if ever, the imaging studies may not be successful in differentiating the type of hernia2,3. Even in the present cases radiological studies were inconclusive and definitive diagnosis was only attained intra-operatively.