{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T13:25:33Z","timestamp":1787059533374,"version":"build-2736575974"},"reference-count":9,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T00:00:00Z","timestamp":1723766400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perit Dial Int"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>Scrotal and penile edema is a noninfectious complication of peritoneal dialysis (PD). A tear in the Spigelian fascia is occasionally recognized as a Spigelian hernia. However, there is no documented evidence that this is a contributing factor for scrotal edema in individuals undergoing PD. We encountered a case of scrotal edema in a patient undergoing PD due to bilateral metachronous tears in the Spigelian fascia, which was successfully treated through surgical repair. A 20-year-old man with end-stage kidney disease due to Alport syndrome underwent PD. Eight months after induction of PD, he heard a rupture sound in the left inguinal region after coughing and developed genital edema. A computed tomography scan showed a tear in the left Spigelian fascia. Surgical repair was successful and there was no recurrence after PD was resumed. Seven months after surgery, he heard a rupture sound in the right inguinal region after coughing and developed genital edema. A computed tomography scan showed a tear in the right Spigelian fascia. Surgical repair was successful and there has been no recurrence since. It is important to recognize that the development of scrotal edema in a patient undergoing PD may be indicative of a tear in the Spigelian fascia.<\/jats:p>","DOI":"10.1177\/08968608241274094","type":"journal-article","created":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T09:50:56Z","timestamp":1723801856000},"page":"374-376","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Scrotal edema due to bilateral metachronous tears in the spigelian fascia in a peritoneal dialysis patient: A case report"],"prefix":"10.1177","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5525-150X","authenticated-orcid":false,"given":"Kentaro","family":"Watanabe","sequence":"first","affiliation":[{"name":"Kurashiki Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kosuke","family":"Fukuoka","sequence":"additional","affiliation":[{"name":"Kurashiki Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mana","family":"Nishikawa","sequence":"additional","affiliation":[{"name":"Kurashiki Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motoko","family":"Kanzaki","sequence":"additional","affiliation":[{"name":"Kurashiki Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriaki","family":"Shimada","sequence":"additional","affiliation":[{"name":"Kurashiki Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenichiro","family":"Asano","sequence":"additional","affiliation":[{"name":"Kurashiki Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,8,16]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/089686080602600214"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3941\/jrcr.v13i3.3490"},{"key":"e_1_3_2_4_2","first-page":"535","article-title":"Ventral hernia due to normal banding of the abdominal muscles","volume":"78","author":"Zimmerman LM","year":"1944","unstructured":"Zimmerman LM, Anson BJ, Morgan EH, et al. Ventral hernia due to normal banding of the abdominal muscles. 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