A rare discovery of Spigelian-cryptorchidism syndrome in adult
Rajan Gurung a, Aishath Azna Ali a, Fei Yee Lee b, Aung Mra c, Firdaus Hayati c,*
a Department of Surgery, Indira Gandhi Memorial Hospital, Male’, Maldives
b Department of Urology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Seri Kembangan, Selangor, Malaysia
c Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
A 34-year-old gentleman was presented to the emergency department
with a one-day history of painful irreducible swelling over the
right lumbar region, in which he was associated with several episodes of
vomiting but without flatus. Upon further questioning, the swelling over
the right lumbar region appeared intermittently upon straining since
childhood. It was associated with mild discomfort and occasionally, the
aforementioned patient would notice the pain radiates to the groin when
there is swelling. He denies any history of constipation or abdominal
distension previously. He was diagnosed with right undescended testes
since birth; however, he was unsure of any intervention performed
previously. He is, otherwise, not known to have any comorbidity. He
works as a manual labourer, denies consuming any alcohol, but smokes
one pack a year for the past 14 years. He was born term with no significant
birth history.
