Inguinal Hernia Containing Uterus and Uterine Adnexa in Female Infants: Report of Two Cases

Ming, Yung Ching; Luo, Chih Cheng; Chao, Hsun Chin; Chu, Shih Ming

doi:10.1016/j.pedneo.2011.02.006

Cited by 43 publications

(35 citation statements)

References 8 publications

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“…In female patients, the sliding inguinal hernia contains the ovary with or without the Fallopian tube in 15% to 20% of cases [8]. In our study, five of 22 cases (23%) were ovarycontaining hernias of the canal of Nuck.…”

Section: Discussionmentioning

confidence: 49%

Ultrasonographic diagnosis of ovary-containing hernias of the canal of Nuck

Yang

Kim

et al. 2014

Ultrasonography

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Purpose:The purpose of this study is to describe the ultrasonographic findings of ovary-containing hernias of the canal of Nuck.Methods:This was a retrospective analysis of 22 hernia cases of the canal of Nuck. The following gray scale and color Doppler ultrasonographic features were analyzed: the site and the size of the hernia, the texture of the hernia contents, and the presence or absence of blood flow in the hernia contents.Results:All of the patients had swelling of the right inguinal region (n=10), left inguinal region (n=8), or both (n=2). On ultrasonography, the hernias appeared as either solid masses (n=17) or solid masses containing cysts (n=5). The mean anteroposterior diameter of the hernia sac of the canal of Nuck was 9.1 mm (range, 5 to 18 mm). The mean anteroposterior diameters of the hernia sac were 11.6 mm (range, 7.6 to 18 mm) for hernias containing an ovary, and 8.3 mm (range, 5 to 13 mm) for hernias containing omental fat. During surgery, among the 17 cases with solid-appearing hernia contents on ultrasonography, omental fat was identified in the hernia sac in four cases, but no structure was identified in 13 cases. All five cases that appeared as solid masses containing cysts on ultrasonography contained ovary tissue in the hernia sac. Among the four cases of ovary-containing hernias, color Doppler ultrasonography identified blood flow within the ovary in three cases, but no flow signal was seen in one case of incarcerated hernia.Conclusion:Ultrasonography may be helpful for the diagnosis of ovary-containing hernias of the canal of Nuck by detecting solid masses containing small cysts.

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Section: Discussionmentioning

confidence: 49%

Ultrasonographic diagnosis of ovary-containing hernias of the canal of Nuck

Yang

Kim

et al. 2014

Ultrasonography

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“…Younger the patient's age more the risk of strangulation. Also ovary including inguinal hernias have more risk of incarceration and strangulation [7,4]. For these reasons the treatment of an inguinal hernia is surgery in elective conditions as soon as possible.…”

Section: Discussionmentioning

confidence: 99%

Indirect inguinal hernia containing uterus, fallopian tube, and ovary in a term infant

Kara¹,

Seçkin²,

Durmaz³

et al. 2018

j-pucr

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A B S T R A C TIndirect inguinal hernia is most commonly seen in infants. Prevalence is lower in girls. Both uterus and ovary including hernia sac is extremely rare. Early diagnosis and surgery is critical, since strangulation and necrosis of these organs may lead to serious conditions and infertility. Doppler Ultrasound (US) is the effective method in differentiation and diagnosis of inguinal hernias of infants. In this very rare case, according to the literature knowledge, we aimed to represent the sonographic and surgical features of a 40 day old vaginally delivered term female infant admitted to our clinic with right groin mass and diagnosed as indirect incarcerated inguinal hernia containing viable uterus, fallopian tube and ovary via US. She went under early surgery through which ovary, fallopian tube and uterus were found in hernia sac. All herniated organs were reduced into peritoneal cavity and the hernia sac was high -ligated.

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“…[11] Inguinal hernias may contain the intestines, omentum, fluid testes, ovaries, fallopian tubes, uterus, and urinary bladder. [12] Incarceration is an important complication of inguinal hernias in the pediatric age group and occurs with a frequency of 31%. [13] The bowel, ovaries, or fallopian tubes are the organs that are most commonly incarcerated.…”

Section: Discussionmentioning

confidence: 99%

Inguinoscrotal hernia in infants: Three case reports in ultrasound diagnosis

Meena¹,

Jhuria²,

Saxena³

et al. 2017

Indian Journal of Radiology and Imaging

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An inguinal hernia occurs when an intestinal loop or part of the omentum or genital organs passes into the scrotal cavity or labia through an incompletely obliterated processus vaginalis. Inguinal hernias are most common in preterm neonates, especially at 32-weeks gestation. Content of hernia is mostly bowel and ovary/testicles. Presence of uterus in herniated sac is rare, and only few cases are reported in literature. Hernia is more frequently located on the right side because the right processus vaginalis closes later than the left. Physical examination is sufficient to enable diagnosis in most cases. Ultrasound examination is indicated in patients with inconclusive physical findings, in patients with acute scrotum, and to investigate contralateral involvement in patients in whom only a unilateral hernia is clinically evident. Routinely, color or power Doppler imaging is used in inguinal-scrotal hernia to investigate intestinal and testicular/ovarian perfusion. Urgent surgery is indicated in patients with an akinetic dilated bowel loop (a sign of strangulation) or impaired testicular/ovarian perfusion.

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Inguinal Hernia Containing Uterus and Uterine Adnexa in Female Infants: Report of Two Cases

Cited by 43 publications

References 8 publications

Ultrasonographic diagnosis of ovary-containing hernias of the canal of Nuck

Ultrasonographic diagnosis of ovary-containing hernias of the canal of Nuck

Indirect inguinal hernia containing uterus, fallopian tube, and ovary in a term infant

Inguinoscrotal hernia in infants: Three case reports in ultrasound diagnosis

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