Ovary-containing inguinal hernias are infrequent clinical entities, constituting, together with fallopian tubes, about 3% of the possible contents of the hernia sac Inguinal hernia containing ovary Peer Reviewed Pediatric Radiology Cases The Peer Reviewed Pediatric Radiology Platform on the Web ISSN: 1942-955X :: Publisher: EduRad ::Editor-In-Chief: Roland Talanow, MD, Ph
In forty reports of > 7140 inguinal herniotomies and/or imaging studies in females the hernia contains an ovary in 15-20%, often with the ipsilateral fallopian tube. The RL and ovary were aligned along the same path as testicular descent only rarely in Müllerian anomalies with an isolated uterine horn preceding the ovary into the sac A 10-week old girl presented via the emergency department with a firm, non-mobile, non-tender lump in the left groin, roughly 1.5cm in size. Ultrasound showed reducible bowel and ovary within the hernia sac. She was transferred to a tertiary. An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. The resulting bulge can be painful, especially when you cough, bend over or lift a heavy object. However, many hernias do not cause pain. An inguinal hernia isn't necessarily dangerous
Overview Inguinal hernia What is a hernia? A hernia is a common condition that occurs when part of an internal organ or tissue bulges through a muscle. Hernias can occur around the belly button, through a surgical scar, in the diaphragm, or in the groin (the area between the abdomen and the thigh on both sides of the body) An inguinal hernia containing an ovary and fallopian tube is an extremely rare occurrence in a woman of reproductive age. When ovarian and fallopian tube inguinal hernias are found, they are commonly associated with defects in genital tract development. In this report a woman with primary amenorrhea
An indirect inguinal hernia containing an incarcerated fallopian tube and ovary is extremely rare in adult females
Inguinal hernia containing an ovary with or without a fallopian tube is not uncommon in female infants. However, an inguinal hernia containing the uterus is extremely rare. The etiology of this pathology is controversial. An anatomic abnormality with primary weakness of the uterine and ovarian suspensory ligaments is suspected Five of them reported ovarian inguinal hernias associated with defects of genital tract development. 8-12 Three others described hernias containing ovarian cysts. 13-15 In two case reports, the hernia contents were not of ovarian origin. 16,17 In another paper, the hernial sac contained a mass that histopathologically mimicked a uterus with. This patent canal known as Canal of Nuck in female allows abdominal visceral organs including the uterus, fallopian tubes and ovary into it presenting as the inguinal swelling in infancy. Canal of Nuck hernia containing ovary is reported in 15-20% of the cases Direct right inguinal hernia containing small bowel (arrows), complicated by strangulation and proximal small bowel obstruction. Distally (arrow) in the left inguinal canal. The left ovary (arrow) and fallopian tube extend into the inguinal canal on the coronal image. Herniation of the ovary is rare (<3% of hernia i In adult population, femoral hernias are more commonly found in patients with previous inguinal hernia repair . We present an unusual case of a 28 -year-old woman who presented to our institution with an incarcerated femoral hernia containing the right ovary & fallopian tube occurring after inguinal hernia repair
. In girls or women, inguinal hernias may contain part of the female reproductive system, such as an ovary. When an inguinal hernia occurs, part of the peritoneum—the lining of the abdominal cavity—bulges through the abdominal wall and forms a sac around the hernia Indirect inguinal hernia is one of the most common congenital abnormality in children, with a reported incidence of 0.8-4.4%. In female patients, the hernia sac contains one ovary in approximately 15-20% of cases, and some also contain a fallopian tube Background Inguinal hernias in women of reproductive age containing the ovary are very rare. When they occur in this age group, they are mostly associated with malformations of the urogenital system Description: This color doppler image shows the normal vascularity of the right ovary. Also flow in the epigastric artery and vein (round vessels) can be identified. The vessels entering the hernia run lateral to the epigastric vessels. This means it is a lateral or indirect inguinal hernia .. 13 In another series of 1,950 groin hernia patients, the overall incidence of inguinal hernia containing ovary as a content was seen in < 2.9%. 3 Association between MRKH type I syndrome and..
organs; the incidence of ovarian hernias is around 15-20% in female infants (Laing et al., 2007). Rarer, however, are hernias containing the uterus and ipsilateral ovary or both ovaries (Cascini et al., 2013). On physical examination, the inguinal hernia appears as a palpable swelling The hernia sac commonly contains the omentum and small bowel as contents, but structures such as cecum, appendix, urinary bladder, Fallopian tubes, and ovary have been reported. We report an extremely rare presentation in our emergency of a right indirect irreducible inguinal hernia containing hemorrhagic ovarian cyst in an adolescent female right inguinal hernia containing the right ovary, without evidence of ovarian torsion, was made. Open herniotomy was performed on the next day. Exploration of the inguinal canal revealed a small hernia sac which contained the ovary. The ovary appeared healthy, with no features of torsion. The ovary was pushed back int The left ovary was visualized as normal both in morphology and location. The diagnosis of right inguinal hernia containing the right ovary, without evidence of ovarian torsion, was made. Open herniotomy was performed on the next day. Exploration of the inguinal canal revealed a small hernia sac which contained the ovary
The authors present a typical case of inguinal hernia containing rudimentary uterine horn, ovary, and fallopian tube. During the operation of herniorraphy the right ovary and fallopian tube with rudimentary uterine horn were found in the hernia sac Inguinal hernia containing an ovary with or without a fallopian tube is not uncommon in female infants. How-ever, an inguinal hernia containing the uterus is extremely rare. e etiology of this pathology is controversial. An anatomic abnormality with primary weakness of the uterine and ovarian suspensory ligaments is suspected. oms o The aim of this review was to summarise the existing evidence on inguinal hernias containing ovaries with or without the other female adnexa. Methods A systematic search was conducted for literature published up to February 2018 using the MEDLINE ® , Scopus ® and Google Scholar™ databases along with the references of the full-text articles. Hernia of the canal of Nuck is a rare condition with an incidence ranging from 0.5% to 1.5% [ 2 ]. The hernia sac in female infant commonly contain ovary that is why it is known as ovarian hernia. Inguinal hernia containing an ovary with or without a fallopian tube is common. However, an inguinal hernia containing the uterus is extremely rare
Concurrent inguinal hernias were found in 115 patients (51%), and 41 (18.2%) had a previous inguinal hernia repair. A complete groin repair was performed in 120 patients and a preperitoneal mesh. An inguinal hernia containing an ovary and fallopian tube is an extremely rare occurrence in a woman of reproductive age. When ovarian and fallopian tube inguinal hernias are found, they are commonly associated with defects in genital tract development. In this report a woman with primary amenorrhea, 46XX karyotype, mullerian agenesis, and an. On examination, the patient's hernia repair was intact. The ultrasonogram showed a viable, although slightly smaller, left ovary with normal flow and follicles. At 1 year follow-up, the hernia repair still remains intact. Laparoscopic repair of an incarcerated inguinal hernia containing a torsed ovary in a young infant is possible Inguinal hernia containing the right ovary with small follicles. Bookmark . Clinical information Palpable mass. Ultrasound Images & Clips Inguinal hernia containing the right ovary with small follicles. Inguinal hernia containing the right ovary. Inguinal hernia containing the right ovary.
Inguinal hernias are more common in boys than in girls. If inguinal hernia containing an ovary (ovarian hernia) is a relatively common clinical form of inguinal hernia in the little girl, the one containing an ovary, a fallopian, and the uterus is very rare. We report the case of a 40 day old girl with a left inguinal tumefaction Hernia containing ovary is a rare congenital disease with a risk of severe complications: strangulated hernia, ovarian torsion, infertility    . The aim of this study was to report our experience of the management of inguinal hernia containing ovary in children A physical exam is usually all that's needed to diagnose an inguinal hernia. Your doctor will check for a bulge in the groin area. Because standing and coughing can make a hernia more prominent, you'll likely be asked to stand and cough or strain. If the diagnosis isn't readily apparent, your doctor might order an imaging test, such as an. Bilateral Inguinal Hernia Containing a Rudimentary Uteri, Ovaries and . Tubes in a Woman with Primary Amenorrhea . Francisco C Medeiros. 1 *, Francisco E Vasconcelos. 2, Bruno HM Dias. 2. and Renato MLV Leal. 3. 1. Department of Maternal and Child Health, School Maternity Assis Chateaubriand, Brazil . 2. Federal University of Ceara (UFC.
We herein report two female cases, aged 1 and 1.5 months, of inguinal sliding hernias containing the uterus, fallopian tube, and ovary. The diagnosis of inguinal hernia with uterus and uterine adnexa was highly suspected preoperatively by ultrasonography and was confirmed during surgical correction An inguinal hernia is a protrusion of abdominal-cavity contents through the inguinal canal. Symptoms are present in about 66% of affected people. This may include pain or discomfort especially with coughing, exercise, or bowel movements. Often it gets worse throughout the day and improves when lying down. A bulging area may occur that becomes larger when bearing down A sac formed from the peritoneum and containing a portion of the intestine or omentum, or both, pushes either directly outward through the weakest point in the abdominal wall (direct hernia) or downward at an angle into the inguinal canal (indirect hernia). Indirect inguinal hernia (the common form) occurs more often in males because it follows. Inguinal hernias containing ovaries are not uncommon in infants since it is stated that 31% of inguinal hernias in girls younger than 2 years contain fallopian tubes and/or ovaries.1 Although the ovaries come first among the structures that incarcerate in the inguinal hernia sac and in some studies it i
Inguinal hernia is a common paediatric surgical problem. 1 The incidence in full-term babies is estimated at 1-5%, and it is six times more common in boys. 2-4 The small intestines are the most commonly herniated intra-abdominal content in boys. 5 In female infants, the ovaries are the most commonly herniated content; however, after one year of age, bowel becomes more common, and a. Abstract. Sliding indirect inguinal hernias containing ovary are not uncommon in girls. We reported our experience with laparoscopic treatment of inguinal ovarian hernias in female infants and children with the aim to standardize the surgical technique A 2.5-month-old girl with a left-sided, painful inguinal swelling for the last 2 days was brought to the emergency department. After physical examination and radiological evaluation, the diagnosis of incarcerated inguinal hernia of the ovary was made. Because of the long-standing history, she was taken to the operation room without an attempt for manual reduction
Inguinal hernias, the most common causes of inguinal masses in infants, occur about 6 times more often in male infants than in female infants.4 Inguinal hernias may con-tain the bowel, omentum, and urinary bladder. 5,6 Cases of inguinal hernias containing an ovary occur infrequently in children but are even more rarely encountered in infants. Pediatric Urology Case Reports (2018-05-01) . Indirect inguinal hernia containing uterus, fallopian tube, and ovary in a term infan A herniated ovary should be differentiated from other possible herniated contents by its shape being soft tissue structures containing follicles and the presence of vascular pedicle. Canal of Nuck hernias account for ~45% of hernias containing ovaries 3 Ectopic ovary: Abnormally located ovary. Inguinal ovarian hernia (95%): Presents as labial mass. Intraabdominal ectopia: Incidental or iatrogenic. Nonstandard ovarian location common & usually incidental (due to long ovarian ligaments) Nonpelvic location sometimes seen after numerous or complex abdominopelvic surgeries
Left inguinal hernia with ovary as it content 3. DISCUSSION Inguinal hernias occur rarely in females around less than 5% of women. The diagnosis of an inguinal hernia can be made based on history and physical examination alone in the majority of cases. Inguinal hernias may present as an asymptomatic finding such as a painless bulge in the groin. The incidence of ovary as content of inguinal hernia in a paediatric patient of 2 years age is very uncommon. In 15-20% of the female patients with inguinal hernias, the herniation sac may contain the ovaries and/or the fallopian tubes . Sonographic diagnosis In the case of a hernia containing ovary in the canal of Nuck i The presence of ovaries and fallopian tubes in the sac of female inguinal hernia is rare especially in childhood. However, complete herniation of the uterus side by side with ovaries and tubes constitutes extreme rarity. We herein present a 6-years old female patient whose inguinal hernia contains uterus in addition to ovaries and fallopian tubes . e contents were easily reduced back into peritoneal cavity without di culty. e inguinal oor was reinforced with Prolene mesh. 3. Discussion Inguinal hernias consist of direct hernias (de ned by pro Inguinal hernia can contain many intra-abdominal organs, including the omentum, small intestine, appendix, ovary, Fallopian tube More Details s, bladder, and benign or malignant tumors. Sliding hernia of the tube and ovaries occurs occasionally in newborn female infants, and the fallopian tube and ovary are found as a sliding component in about 15%-20% of inguinal hernias in infants and.
sac containing the uterus, ovary, and fallopian tube in as-sociation with a giant intraabdominal lipoma: report of a case. Hernia 2012; 16: 593―595. 5．Bradshaw KD, Carr BR: Ovarian and tubal inguinal her-nia. Obstet Gynecol 1986; 68: 50―52. 6．Fowler CL: Sliding indirect hernia containing both ova-ries. J Pediatr Surg 2005; 40: 13―14 Mandel DC, Beste T, Hope W: Hernia uterine inguinale: an uncommon cause of pelvic pain in the adult female patient. J mimim invas gyn 2010, 17: 787-790. 10.1016/j.jmig.2010.06.008. Article Google Scholar Tagliaabue F: Indirect inguinal hernia containing fallopian tube, ovary and ovarian cyst in adult woman Inguinal hernias containing the uterus, fallopian tube, and ovary in premature female infants. J Pediatr. 2000;136:696-698. Ravikumar K, Khope S, Ganapathi BP. Littre's hernia in a child—an operative surprise (a case report). J Postgrad Med. 1989;35:112-113. Orr KB. Perforated appendix in an inguinal hernial sac: Amyand's hernia In conclusion, a hernia sac containing uterus, fallopian tube, and ovary in the female is very rare. The lesions can be diagnosed by the characteristic sonographic appear-ance. We suggest that sonography be performed routinely in those females with an inguinal hernia containing an asymptomatic palpable movable mass. References 1
. This is because of the way the testicles form as they move down the inguinal canal, enlarging the passageway. In women, the inguinal canal is smaller. The ligament of the uterus in the inguinal canal also acts as a barrier for bulges or protrusions to pass In females, the ovaries and other parts of the reproductive system can slide through the opening and cause a hernia. Indirect hernias are the most common type of inguinal hernia A femoral hernia lies in the femoral canal, medial to the femoral vein. Because of the narrowness of the femoral ring (the opening that forms the neck of a femoral hernia), it is more likely than an inguinal hernia to become incarcerated. Herniography can be performed to outline the hernial sac and contents Sliding hernia is quite a common finding in infant girls: up to 20% of all hernias in this group of patients are sliding hernias containing ovary and fallopian tube . In the adult population almost all cases of sliding hernias are seen in men [ 4 , 5 ] with only isolated reports of sliding inguinal hernias in women [ 6 ] Inguinal Hernia Containing Stomach, Transverse Colon and Small Bowel 599 P J M H S VOL .5 NO.3 JUL - SEP 2011 inguinal hernia repairs. Ryan recently reported 313 cases, which constituted 5.06 per cent of all the inguinal hernia repairs or 6.75 per cent of all the indirect inguinal hernia repairs done in an eight-yea
This baby was born at term via spontaneous vaginal delivery. A large left-sided inguinal hernia that completely filled the scrotum was obvious at birth (A). An ultrasonogram confirmed a complete bowel-containing inguinal-scrotal hernia. No hernia was present on the right side. Both testes were descended. The scrotum is shown after the hernia was reduced by manipulation (B) The protrusion of a hernial sac containing intraperitoneal contents (e.g., intestine, omentum, or ovary) at the superficial inguinal ring. In an indirect inguinal hernia, the sac protrudes lateral to the inferior epigastric artery through the internal inguinal ring into the inguinal canal, often descending into the scrotum (in males) or labia (in females) . In type B, or atypical (present in 56%), patients had asymmetric, unilateral, or absent uterine buds. Six of 91 patients had an inguinal hernia containing an ovary, all of whom had the type B, or atypical, anomaly However it is very exceptional that an inguinal hernia contains the entire uterus, fallopian tubes and both ovaries. In this report a case is described of a two-month-old infant which was diagnosed and semi-urgently operated with a right sided inguinal hernia containing all the aforementioned anatomical structures
Congenital inguinal hernias are usually detected at birth and all need urgent outpatient referral for surgical repair. Inguinal hernias in older children and adults usually develop gradually but can occur suddenly with an episode of heavy lifting causing 'rupture': At first appearance, a hernia is usually easily reducible when the patient reclines Keywords: Inguinal Hernia, Amyand's Hernia, Appendix, Ovarian Cyst, Hernia Repair. 1. Introduction . Inguinal hernia repair is one of the commonest opera-tions in surgical practice. However, when a surgeon en-counters unusual content it could pose a difficulty in its management [1,2]. The often encountered unusual con (9) This was a case of a 20 year old adult married woman with MRKH syndrome type I with an irreducible sliding inguinal hernia containing ovary and fallopian tube with torsion of the ovary which is extremely rare. Strubbe et al. identified 6 among 91 MRKH patients with inguinal ovarian hernia An indirect inguinal hernia containing the entire uterus, ovaries, and Fallopian tubes is extremely rare in pediatrics. The present report describes the very rare case of a 1-month-old girl with an irreducible indirect inguinal hernia containing the entire uterus, ovaries, and Fallopian tubes, and the successful surgical treatment of simple herniorraphy patients with inguinal hernias, the herniation sac may contain the ovaries and/or the fallopian tubes. Sonographic diagnosis In the case of a hernia containing ovary in the canal of Nuck in female infant, early diagnosis is important because incarceration of the ovary is common and has been reported in up to 43% of cases.[4
Sliding inguinal hernia containing the ovary is a complex lesion necessitating a careful and meticulous dissection with least trauma to the ovaries.7 A part of the uterus, fallopian tube and ovaries can also find its way in to the hernia sac.8,9 Therefore the hernia sac in a female patents in like a magic box the truth of which is unravelled. Recognising the signs of a hernia containing compromised contents is essential to prevent serious complications such as intestinal perforation, testicular atrophy and ovarian damage. Other common conditions such as hydrocoele and undescended testis are sometimes confused with an inguinal hernia. Young patients under the age of thre Ovarian tumours presenting as an inguinal hernia have been described in ten cases, with patients ranging in age from 43 to 81 years . Inguinal hernias containing a tumour of the urinary bladder are very rare, with only 22 cases reported in the literature . Lymphoma diagnosed as an inguinal/femoral hernia is described in a few cases . Inguinal hernias containing the uterus, fallopian tube, and ovary in premature female infants. J Pediatr 2000; 136:696. Bijnens E, Broeckx J, Hoffbauer R, Borreman JP. Sonographic diagnosis of an incarcerated inguinal hernia containing uterus and left adnex A. J Ultrasound Med 1992; 11:249
Inguinal hernia is more common than femoral hernia and other abdominal wall hernias (eg, umbilical, epigastric) . Although femoral hernias account for fewer than 10 percent of groin hernias, they present clinically with complications (incarceration, strangulation) more often than inguinal hernias Short description: Unil inguinal hernia, w/o obst or gangr, not spcf as recur The 2021 edition of ICD-10-CM K40.90 became effective on October 1, 2020. This is the American ICD-10-CM version of K40.90 - other international versions of ICD-10 K40.90 may differ Indirect inguinal hernia is one of the most common congenital abnormality in children. In approximately 15-20% of female patients, the hernia sac contains an ipsilateral ovary, but a few cases have been reported in which the uterus and both ovaries are within the hernia sac A 28 year-old female with a painful mass, which proved to be an ovarian cyst within an inguinal hernia, in the left inguinal region. A: Ultrasound showing an ovarian cyst in the inguinal canal. B: Axial CT in the portal phase showing that cyst (arrow). Image courtesy of Dr. Lutero Marques de Oliveira To characterize the ultrasonographic and clinical findings of inguinal hernia containing the ovary or omentum in girls. Materials and Methods We studied 46 girls (49 cases) who were diagnosed with inguinal hernia on ultrasonography between March 2009 and December 2015
E. Besirov, A right sliding indirect inguinal hernia containing paraovarian cyst, fallopian tube, and ovary: a case report, Archives of Gynecology and Obstetrics ,vol The intact hernia sac containing the ovary and fallopian tube was reduced into the abdominal cavity and the tie was made to close the internal ring. This repaired the abdominal floor by avoiding a high ligation on the right Keywords: Inguinal hernia ,Ovary, Hernia repair, Canal of Nuck. Introduction Inguinal hernias are rare in females. The Incidence of female inguinal hernia is 1.9%. The Male:Female ratio for inguinal hernias is 7 : 1.(1,2) Inguinal hernia on the right side being presented in 68.1%, on the left side in 23.4% and bilateral in 8.5% For ovary/adnexa - containing inguinal hernia, IIR was closed using a modified Woolley technique (Fig. 1). Figure 1. Modified Wooley technique. Incarcerated ovary and fimbria are seen in the opened hernial sac (A). The ovary and fimbria have been pushed back into the peritoneal space. U - turned Fallopian tube remains in the sac The hernia sac may contain jejunum, ileum, vermiform appendix, Meckel's diverticulum, stomach, ovary, fallopian tube or urinary bladder. Our report features an adult case with cryptorchidism in which testis and spermatic cord constitute a component of the indirect inguinal hernia sac
Background. 1-2% of children have these. 10% become incarcerated. 70% of incarceration occurs in infants (usually <6 mo) Male:Female ration = 6:1. 21% of female inguinal hernias contain an ovary 1. Fowler CL (2005) Sliding indirect hernia containing both ovaries. J Paediatr Surg 40(9):e13-e14 2. Golash V, Cummins RS (2005) Ovulating ovary in an inguinal hernia. Surgeon 3(1):48 3. Ray S, Som SC, Adedji EA, Williams GT, Ferguson A (2003) Ovarian and tubal inguinal hernia - an unusual presentation. J Obstet Gynaecol 23(3):323-324 4 Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent. 2016 2017 2018 2019 2020 2021 Billable/Specific Code. K40.30 is a billable. Objective: To report a case of laparoscopic repair of bilateral inguinal hernias in a patient with müllerian agenesis.Design: Case report.Setting: Hospital.Patient(s): An 18-year-old woman with müllerian agenesis who presented with symptomatic inguinal hernias containing ovaries.Intervention(s): Laparoscopic repair of bilateral inguinal hernias.Main Outcome Measure(s): Hernia repair was. In addition to an ovary-containing hernia, diagnostic considerations for a labial mass in an infant or child include a localized fluid collection in the inguinal canal (hydrocele of the canal of Nuck), a bowel-containing hernia, and an enlarged lymph node, an abscess, hematoma, lipoma, or a mesothelial cyst Inguinal hernia repair in infants is a routine surgical procedure. However, numerous issues, including timing of the repair, the need to explore the contralateral groin, use of laparoscopy, and anesthetic approach, remain unsettled. Given the lack of compelling data, consideration should be given to large, prospective, randomized controlled trials to determine best practices for the management.