Inguinal hernia with ovary as content- laparoscopic repair in a Mayer–Rokitansky–Küster–Hauser syndrome patient: case report

Abstract

Inguinal hernia is a common surgical disease. Ovary and fallopian tube are not frequently found as content of the hernia. A 18 year old female, diagnosed case of Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome, presented with left sided reducible inguinal hernia for six months. Ultrasonography revealed absence of intra-abdominal left ovary and presence of ovary in the sac. She was planned for laparoscopic repair and total extra-peritoneal repair (TEP) was done. Ovary and adnexa may be content in groin hernia in females. Association of syndromes especially MRKH syndrome should be kept in mind in this group of patients. Laparoscopic total extra-peritoneal repair may be successfully attempted in this group of patients.

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

“…Although inguinal hernia is less frequently seen in young female infants as compared to males, the most often stumbled upon structures in female infants inguinal hernia sacs are the ovaries, with or without fallopian tubes 6 . However, it is exceedingly uncommon for ovaries to be found in the inguinal areas during adolescence and maturity.…”

“…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]…”

“…In these situations, Muller anomalies, which result from Muller aplasia and MRKH syndrome, are part of the etiopathogenesis. 6,7 Initially situated inside the abdominal cavity, the reproductive glands subsequently descend. By the end of the eighth month of pregnancy, testes have become localized in the scrotum, and the processus vaginalis obliterates following birth.…”

“…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.…”

“…When dealing with such clinical presentation, comprehensive care is required, which involves relocating the uterus, fallopian tube, and ovary, fixing the hernia, and opening up the neovagina. In particular, for young adult females, fertility preservation requires appropriate surgical and medical therapy 1–15 …”