Case of mullerian agenesis presenting as bilateral inguinal hernia with left sided irreducibility in a 21 years old female: A rare case report

Kumar, Anurag; Kumar, Anil; Anwer, Majid; Kumar, Deepak

doi:10.1016/j.ijscr.2023.107895

Cited by 4 publications

(19 citation statements)

References 13 publications

(15 reference statements)

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“…In particular, for young adult females, fertility preservation requires appropriate surgical and medical therapy. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15]…”

Section: Discussionmentioning

confidence: 99%

“…About 4%-37% of complex cases of inguinal hernia have an irreducible ovary, whereas 2%-33% of cases have torsion or infarction. 1 The most important steps to prevent complications and restore fertility are early diagnosis and treatment. Independent of Mullerian status, relocation and herniorrhaphy are recommended as soon as the ovarian tissue in the hernial sac is identified.…”

Section: Discussionmentioning

confidence: 99%

“…Independent of Mullerian status, relocation and herniorrhaphy are recommended as soon as the ovarian tissue in the hernial sac is identified. 1,2,6,7 Reduction and repair were carried out employing the open method on our patient. This repositioning can also be done laparoscopically.…”

Section: Discussionmentioning

confidence: 99%

“…A substantial number of reported cases in adult females have been linked to additional genital tract congenital abnormalities. [1][2][3][4] Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a moniker assigned to the occurrence of Mullerian dysgenesis in the ovaries, uterus, and fallopian tube. The absence of paramesonephric ducts leads to halt in normal development of uterus, cervix, and vagina.…”

Section: Introductionmentioning

confidence: 99%

“…As many as 31% of inguinal hernia sacs in young girls involve uterine adnexa; bilateral ovarian sliding hernias are unusual, and their incidence declines with age, making it infrequent in adult women. A substantial number of reported cases in adult females have been linked to additional genital tract congenital abnormalities 1–4 …”

Section: Introductionmentioning

confidence: 99%

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Bilateral indirect ovarian inguinal hernia in a young female with type 1 Mayer–Rokitansky–Küster–Hauser syndrome: An extremely rare clinical context

Bhatta,

Ojha,

Ansari

et al. 2024

Clinical Case Reports

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Key Clinical MessageIncidence of bilateral inguinal hernia encompassing bilateral ovaries in adult female is very thin and concomitant association with Mayer–Rokitansky–Küster–Hauser syndrome is out of ordinary. Along with surgical management of hernia, these females need multidisciplinary slant to manage gynecological, social, and emotional issues.AbstractIn mature females, bilateral ovarian inguinal hernias are a rarity. In this situation, ultrasonography is the basic adjunct to confirm the diagnosis. Mayer–Rokitansky–Küster–Hauser syndrome is typically linked to ovarian hernias in grown‐up females. The most important ways to avoid problems are early diagnosis and surgical repair. A 25‐year‐old lady presented to our outpatient clinic with a history of swelling in bilateral inguinal region for 1 month. On the ultrasound examination, the right ovary was visualized in the right high inguinal canal, and the left ovary was seen at the level of deep inguinal ring with no visualization of the uterus in its normal anatomical position. The patient underwent bilateral inguinal exploration under spinal anesthesia, and herniated contents were successfully reduced back to anatomical locations. Clinical care for such a clinical condition must be multifaceted, involving intensive counseling, relocating the uterus, fallopian tube, and ovary to preserve fertility, and preventing consequences like incarceration and strangulation.

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“…In particular, for young adult females, fertility preservation requires appropriate surgical and medical therapy. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15]…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Bilateral indirect ovarian inguinal hernia in a young female with type 1 Mayer–Rokitansky–Küster–Hauser syndrome: An extremely rare clinical context

Bhatta,

Ojha,

Ansari

et al. 2024

Clinical Case Reports

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Feasibility of tension-free repair of inguinal hernia in senile patients under ultrasound-guided local nerve block

Wang,

Zhang,

et al. 2024

Updates Surg

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The clinical characteristics of open hernia repair under local nerve block guided by ultrasound and epidural anesthesia under daytime surgery mode were compared and analyzed, and the safety, rationality and effectiveness of tension-free repair of inguinal hernia in elderly patients under local nerve block guided by ultrasound were discussed. The clinical data of 200 patients who underwent inguinal hernia day surgery in Liaocheng People's Hospital Affiliated to Shandong First Medical University from January 2022 to October 2022 were retrospectively analyzed, including 150 patients who underwent local anesthesia block surgery and 50 patients who underwent epidural surgery. The visual analog score of the ultrasound local anesthesia group was lower than that of the epidural surgery group at 4 h after operation. The time of getting out of bed and postoperative exhaust were shorter than those of epidural operation group. The recovery rate of unrestricted activity 2 weeks after surgery was higher than that in epidural surgery group (P < 0.05). The incidence of postoperative acute urinary retention between the two groups was lower in local ultrasound anesthesia group, and the difference was statistically significant (P < 0.05). The median follow-up time was 4(1–6) months, and the follow-up rate was 100%. Postoperative complications were seroma, wound infection, chronic pain and recurrence, and there was no statistical significance between the two groups (P > 0.05). No serious complications occurred in both groups. Compared with open epidural surgery, ultrasound-guided local nerve block tension-free day surgery in the elderly has the advantages of less pain, faster recovery, and is safe and feasible.

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Bilateral indirect ovarian inguinal hernia in a young female with type 1 Mayer Rokitansky Küster Hauser syndrome: An extremely rare clinical context.

Bhatta,

Ojha,

Ansari

et al. 2024

Preprint

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Case of mullerian agenesis presenting as bilateral inguinal hernia with left sided irreducibility in a 21 years old female: A rare case report

Cited by 4 publications

References 13 publications

Bilateral indirect ovarian inguinal hernia in a young female with type 1 Mayer–Rokitansky–Küster–Hauser syndrome: An extremely rare clinical context

Bilateral indirect ovarian inguinal hernia in a young female with type 1 Mayer–Rokitansky–Küster–Hauser syndrome: An extremely rare clinical context

Feasibility of tension-free repair of inguinal hernia in senile patients under ultrasound-guided local nerve block

Bilateral indirect ovarian inguinal hernia in a young female with type 1 Mayer Rokitansky Küster Hauser syndrome: An extremely rare clinical context.

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