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Hernia (2012) 16:471473DOI 10.1007/s10029-010-0764-y
CASE REPORT
Irreducible indirect inguinal hernia containing uterus, ovaries, and Fallopian tubes
T. Okada S. Sasaki S. Honda H. Miyagi
M. Minato S. Todo
Received: 23 September 2010 / Accepted: 21 November 2010 / Published online: 7 January 2011 Springer-Verlag 2011
Abstract 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. We review the literature on this type of relationship between indirect inguinal hernia and hernial visceras of the uterus, ovaries, and Fallopian tubes and discuss the clinical features of this complication. Furthermore, the possible cause of indirect inguinal hernia containing the uterus, ovaries, and Fallopian tubes was explored.
Keywords Fallopian tubes Irreducible indirect inguinal
hernia Ovaries Uterus
Introduction
In female infants, in 1520% of cases, sliding hernia contains the ovary with or without the Fallopian tube [1]. An indirect hernia containing the entire uterus is extremely rare [2, 3]. Herein, we report an infantile case of an irreducible indirect inguinal hernia containing the entire uterus, ovaries, and Fallopian tubes. Diagnosis was made
by physical and sonographic examinations [4] and conrmed during surgical correction. We suggest the use of sonography in the diagnostic workup in female infants with an inguinal hernia to assess hernial contents. Furthermore, while sliding hernia containing the ovary with or without the Fallopian tube is rarely encountered, such a complication should be borne in mind when surgical problems associated with a hernia arise in female infants [5]. We review the literature on this type of disorder, and discuss the problems associated with children with disorders of indirect inguinal hernia involving the uterus and adnexas, particularly concerning the genesis of this disorder.
Case report
A female infant weighing 1,965 g was delivered at 36 weeks of gestation by Caesarean section. She presented with irritability and an irreducible large swelling in the left groin area at 1 month of age. A physical examination disclosed no abdominal distention and a hard, not-reddish, irreducible mass (3 cm in diameter) in the left groin, with normal external genitalia (Fig. 1)....