Inguinal ovary in adult women-case report and literature review

Josefsson, Mette L; Mitra, Surajit; Gupta, Sanjay

doi:10.1186/2193-1801-2-545

Cited by 11 publications

(11 citation statements)

References 5 publications

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“…Most cases of inguinal ovary have been reported in pediatric patients with other genital tract anomalies [ 1 ]. Inguinal ovaries in adult women are rarely reported; in fact, only 12 cases were identified in a recent review article [ 6 ]. In a retrospective review of 1,950 cases of inguinal hernia, ovaries and fallopian tubes accounted for 2.9% of the unusual contents of hernia sacs [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic repair of indirect inguinal hernia containing endometriosis, ovary, and fallopian tube in adult woman without genital anomalies

et al. 2014

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Indirect inguinal hernia containing an ovary is a rare condition, especially in adult women who do not have any other genital tract anomalies. In addition, inguinal hernia containing an ovary and endometriosis is exceedingly rare. In the present report, we describe a case of indirect inguinal hernia containing an ovary, fallopian tube, and endometriosis. Laparoscopic repair was performed successfully using polypropylene mesh for the treatment of the inguinal hernia.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic repair of indirect inguinal hernia containing endometriosis, ovary, and fallopian tube in adult woman without genital anomalies

et al. 2014

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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: 98%

“…Such presentations are found uncommonly in adult females. 10 Ovarian torsion and infarction are seen in 2-33% of patients presenting as ovarian hernia. 14 The incidence of incarceration (acute or chronic) was 9%.…”

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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“…The reproductive systems of both females and males share the same steps in the early uterine development. Understanding this fact may help understanding the mechanism of the ovarian herniation through the inguinal canal [6]. The pathophysiology of the development of sliding inguinal hernias of ovary and fallopian tube in female is thought to be a homologous to the normal physiology of the testis descent in male [1].…”

Section: Discussionmentioning

confidence: 99%

Obstructed inguinal hernia containing female reproductive organ: A rare presentation

Ismael¹,

Hammood²,

Kakamad³

et al. 2017

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. Inguinal hernia is a common surgical problem; usually the bowel and omentum herniate through the defect. Herniation of the female reproductive organs is extremely rare. The aim of this study is to report a case of obstructed inguinal hernia with herniation of ovary and uterine tube. Case Report: A 14-year-old girl with a history of reducible left inguinal hernia was admitted to the emergency room. She had tender irreducible swelling of left groin associated with nausea for two days. IJCRI publishes ReviewOn examination there was irreducible tender left inguinal swelling. Ultrasound examination proved the diagnosis as irreducible left inguinal hernia containing left ovary with complex cystic content. Under general anesthesia, exploration of the left inguinal canal was done. The sac was opened; both ovary and fallopian tube were viable. The ovarian cyst was excised and the sac closed then reduced to the abdominal cavity. Round ligament was preserved and the posterior wall was reinforced by darning procedure. Conclusion:Inguinal hernia with ovarian and uterine tube herniation is a very rare disease. Management is by surgery with careful reduction of the content.

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Inguinal ovary in adult women-case report and literature review

Cited by 11 publications

References 5 publications

Laparoscopic repair of indirect inguinal hernia containing endometriosis, ovary, and fallopian tube in adult woman without genital anomalies

Laparoscopic repair of indirect inguinal hernia containing endometriosis, ovary, and fallopian tube in adult woman without genital anomalies

Ovarian inguinal hernia – a possibility in MURCS syndrome

Obstructed inguinal hernia containing female reproductive organ: A rare presentation

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