Right Inguinal Hernia Encompassing the Uterus, Right Ovary and Fallopian Tube in an Elderly Female: Case Report

Abstract

The uterus, ovary, and fallopian tube are rarely present in an inguinal hernia. We report on an operation to treat just such a rare condition for a right inguinal hernia. An 87-year-old Japanese woman was admitted with swelling in the right inguinal region and a purulent discharge from the vagina. Vital signs were stable, but the mobile mass was irreducible. Computed tomography of the abdomen indicated uterine tissue in a right inguinal hernia. We diagnosed an inguinal hernia with an incarcerated uterus and performed surgery on that basis. An incision approximately 6 cm long was made in the skin above the swollen area to open the inguinal sac, disclosing a tumor enveloped by a hernial sac. Opening the hernial sac revealed the prolapsed uterus, the fallopian tube, and the right ovary. Because no ischemic change was noted, the incarcerated uterus was returned to the abdominal cavity, and the hernial opening was closed with the onlay mesh technique. The posterior wall of the inguinal canal was found to have prolapsed laterally to the inferior epigastric artery, resulting in an external inguinal hernia. This case demonstrates that careful attention must be paid to inguinal hernias in female patients because the uterus, ovary, and fallopian tube may be involved. (J Nippon Med Sch 2016; 83: 93 96)

Ovarian inguinal hernia

“…19 Consequently, 15 papers (13 case reports, 2 case series), comprising 17 patients with ovarian inguinal hernias, were included in our review. 5,6,[20][21][22][23][24][25][26][27][28][29][30][31][32] summarised in Tables 1-3. The mean patient age was 47.9 years (standard deviation: 23.7 years) and over half of the patients (n=9, 56%) were women of reproductive age (18-45 years).…”

“…Data concerning follow-up were recorded by Ueda et al, Malik et al and Ray et al, who detected no hernia recurrence in the operated patients at nine months, three months and six weeks following surgery respectively. 27,28,30…”

Hernia útero inguinal derecha atascada en mujer en edad fértil: reporte de un caso

“…Evaluando una revisión bibliográfica, Ueda et al 12 , del año 2016, sumado a nuevos de casos publicado en PubMed, hasta mayo de 2020, se encontraron 13 casos de hernia útero inguinal en mujeres en edad reproductiva [12][13][14][15] ; dentro de los cuales, en 10 casos, el contenido de saco herniario conservaba un útero rudimentario, un útero normal fue encontrado en 2 de los 13 casos. La edad promedio de presentación fue de 37,4 años, en 4 casos reportados las pacientes eran mayores de 40 años.…”

Inguinal herniation of left ovary, fallopian tube and rudimentary left horn of bicornuate uterus associated with type 2 Mayer-Rakitansky-Kuster-Hauser (MRKH) syndrome in a teenage girl: A case report and literature review

“…Furthermore, some literatures reported inguinal herniation of ovary with or without fallopian tube and uterus into the inguinal canal regardless of congenital genitourinary syndromes. Such as Daib et al, 2017 reported a 1-month year old infant with utero-ovarian herniation into left inguinal canal [2] and another study by Ueda et al,2016 indicated the inguinal herniation of uterus, ovary and fallopian tube in an old woman [9].…”