Incarcerated ovarian inguinal hernia in a 10-month-old girl

Lee, Jeffrey; Scampoli, Nick

doi:10.1503/cmaj.140823

Cited by 16 publications

(17 citation statements)

References 9 publications

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“…Incarcerated ovarian hernia is a common type of incarcerated inguinal hernia and one of the emergency diseases in paediatric surgery. As recently reported [5][6] , the incidence of incarcerated ovarian hernia ranges between 6% and 15% of inguinal hernias in female infants.…”

Section: Discussionmentioning

confidence: 82%

Single-site Laparoscopic High Ligation of the Extraperitoneal Hernia Sac with an Epidural Needle for Incarcerated Ovarian Hernia in Infants

Wang

Chen

Zhang

et al. 2021

Preprint

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Background: The purpose of this study was to evaluate the safety and efficacy of single-site laparoscopic extraperitoneal hernia sac ligation with an epidural needle for incarcerated ovarian hernia in infants and young children.Methods: The clinical data of 38 infants with incarcerated ovarian hernia who underwent single-site laparoscopic extradural needle extraperitoneal hernia sac ligation from January 2015 to January 2018 were retrospectively analysed.Results: All procedures were successfully performed in laparoscopy with no need for conversions to open surgery. All patients were discharged 1-2 days after the operation. During hospitalization and follow-up, there were no complications, such as intestinal or bladder injury, abdominal wall vascular injury, ovarian atrophy, hernia recurrence and contralateral indirect hernia. However, three patients had complications, including two cases of poor healing of the umbilical incision and one case of suture granuloma. Conclusions: Single-site laparoscopic high ligation of the extraperitoneal hernia sac with an epidural needle is a safe and feasible method for the treatment of incarcerated ovarian hernia in infants and young children. It has the advantages of minimal trauma, no scarring and good cosmetic effects.

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Section: Discussionmentioning

confidence: 82%

Single-site Laparoscopic High Ligation of the Extraperitoneal Hernia Sac with an Epidural Needle for Incarcerated Ovarian Hernia in Infants

Wang

Chen

Zhang

et al. 2021

Preprint

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“…Inguinal hernia containing ovary is generally found in paediatric population as groin swellings, that accounts for 6-7% of inguinal hernias in this age group. 9,10,11 In one series by Ein et al, the incidence in more than 1000 females was 15% but 76% were younger than 2 years. 12 Almost 30% of all reported cases are related to adolescents or women of reproductive age.…”

Section: Discussionmentioning

confidence: 99%

Ovarian inguinal hernia – a possibility in MURCS syndrome

Saini

Bains

Kaur

et al. 2020

Preprint

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Background Inguinal hernia containing ovary can be found in paediatric population and is a rare finding in women of reproductive age group. Most of the cases are associated with congenital abnormalities of the female genital tract. Case Presentation A 20 year old female presented with right reducible inguinal hernia, primary amenorrhea and normal secondary sexual characteristics. Clinical examination revealed scoliosis with convexity towards left side, prominence of left rib cage with sprengel deformity and right sided heart sounds. Ultrasound of the inguinal swelling revealed right ovary within the hernial sac, Chest X-ray revealed right lung collapse and dextrocardia. Further Magnetic resonance imaging (MRI) of pelvis revealed inguinal hernia with right ovary as its content, normal left ovary and absent uterus. Computed tomography (CT) revealed complete collapse of right lung with compensatory left lung hyperinflation and absent right kidney. Karyotyping of the patient was normal, 46XX. A diagnosis of MURCS syndrome with right ovarian hernia was made. The hernia was surgically managed with repositioning of ovary into the pelvis. Discussion Ovary in inguinal hernia is rare in women of reproductive age group. MRKH syndrome, a mullerian duct anomaly, is the congenital aplasia of uterus and upper two-thirds of vagina in a female with normal ovaries, fallopian tube, secondary sexual characteristics and 46XX karyotype. MURCS is a subtype of MRKH type 2 having mullerian duct agenesis with renal, cardiac, muscular & vertebral defects. General physical examination and primary investigations if yields abnormal findings; the patient must undergo an array of investigations to rule out MRKH/MURCS, or other congenital abnormality. Early diagnosis is essential to prevent its incarceration or torsion. The primary treatment of ovary in inguinal hernia is repositioning the ovary back to pelvis to preserve fertility and repair of inguinal hernia. A multidisciplinary team is required to deal with various abnormalities present in a patient with MURCS.

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“…Inguinal hernia containing ovary and fallopian tube is generally found in paediatric population as groin swellings, that accounts for 6–7% of inguinal hernias in this age group [ 9 – 11 ]. In one series by Ein et al, the incidence in more than 1000 females was 15% but 76% were younger than 2 years [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Ovarian inguinal hernia – a possibility in MURCS syndrome

et al. 2021

View full text Add to dashboard Cite

Background Inguinal hernia containing ovary and fallopian tube can be found in paediatric population and is a rare finding in women of reproductive age group. Most of the cases are associated with congenital abnormalities of the female genital tract. Case presentation A 20 year old female presented with right reducible inguinal hernia, primary amenorrhea and normal secondary sexual characteristics. Clinical examination revealed scoliosis with convexity towards left side, prominence of left rib cage with Sprengel deformity and right sided heart sounds. Ultrasound of the inguinal swelling revealed right ovary within the hernial sac, Chest X-ray revealed right lung collapse and dextrocardia. Further Magnetic resonance imaging (MRI) of pelvis revealed inguinal hernia with right ovary as its content, normal left ovary and absent uterus. Computed tomography (CT) revealed complete collapse of right lung with compensatory left lung hyperinflation and absent right kidney. Karyotyping of the patient was normal, 46XX. A diagnosis of MURCS syndrome with right ovarian hernia was made. The hernia was surgically managed with repositioning of ovary and fallopian tube into the pelvis. Discussion Ovary in inguinal hernia is rare in women of reproductive age group. MRKH syndrome, a mullerian duct anomaly, is the congenital aplasia of uterus and upper two-thirds of vagina in a female with normal ovaries, fallopian tube, secondary sexual characteristics and 46XX karyotype. MURCS is a subtype of MRKH type 2 having mullerian duct agenesis with renal, cardiac, muscular & vertebral defects. General physical examination and primary investigations if yields abnormal findings; the patient must undergo an array of investigations to rule out MRKH/MURCS, or other congenital abnormality. Early diagnosis is essential to prevent its incarceration or torsion. The primary treatment of ovary in inguinal hernia is repositioning the ovary and fallopian tube back to pelvis to preserve fertility and repair of inguinal hernia. A multidisciplinary team is required to deal with various abnormalities present in a patient with MURCS.

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Incarcerated ovarian inguinal hernia in a 10-month-old girl

Cited by 16 publications

References 9 publications

Single-site Laparoscopic High Ligation of the Extraperitoneal Hernia Sac with an Epidural Needle for Incarcerated Ovarian Hernia in Infants

Single-site Laparoscopic High Ligation of the Extraperitoneal Hernia Sac with an Epidural Needle for Incarcerated Ovarian Hernia in Infants

Ovarian inguinal hernia – a possibility in MURCS syndrome

Ovarian inguinal hernia – a possibility in MURCS syndrome

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