Incarcerated Tuboovarian Inguinal Hernia

2016

which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. An indirect inguinal hernia containing an incarcerated fallopian tube andovary is extremely rare in adult females.The current report describes a woman of reproductive years presenting with an irreducible indirect hernia which required the surgical intervention of a general surgeon as well as counseling regarding future fertility by a gynecologist. The diagnosis was made by physical and sonographic examination and was confirmed by CT scan and surgical intervention.We suggest a multimodel andmultidisciplinary approach in order to safely and efficiently preserve ovarian and fertility function in young women who present with an inguinal hernia containing reproductive organs. 1.

Case reports in obstetrics and gynecology, 2014

An indirect inguinal hernia containing an incarcerated fallopian tube and ovary is extremely rare in adult females. The current report describes a woman of reproductive years presenting with an irreducible indirect hernia which required the surgical intervention of a general surgeon as well as counseling regarding future fertility by a gynecologist. The diagnosis was made by physical and sonographic examination and was confirmed by CT scan and surgical intervention. We suggest a multimodel and multidisciplinary approach in order to safely and efficiently preserve ovarian and fertility function in young women who present with an inguinal hernia containing reproductive organs.

Cureus, 2021

A 34-year-old woman presented to the hospital emergency department complaining of abdominal pain for four days, more so in the left iliac fossa, and six episodes of vomiting for one day. Physical and sonographic examinations revealed an inguinal hernia containing a twisted gangrenous ovary with fallopian tube and partially developed uterus. The patient underwent an emergency hernia exploration with left oophorectomy, repositioning of the uterus with a fallopian tube, and herniorrhaphy without complications. A preoperative diagnosis based on history, physical examination, and ultrasonography allows for accurate surgical planning and corrective surgery without complications.

Journal of Pediatric Surgery, 2007

Sliding indirect inguinal hernias containing the ipsilateral uterine adnexa are not uncommon in female infants. We report a case of a 12-year-old girl presenting with a benign tumor (serous cystadenofibroma) in a retroperitoneally located ovary. The patient had a history of hernia repair in the neonatal period. Displacement of the ovary and fallopian tube in the retroperitoneal space is a rarely reported complication of pediatric inguinal hernia surgery. Uncorrected, this can result in hormonal dysfunction, decreased fertility, and difficult and unclear situations during abdominal surgery in adulthood. A laparoscopic approach for hernia repair may prevent this complication.

Archives of Gynecology and Obstetrics, 2009

Albeit very uncommon, the hernia sac may contain unusual structures such as vermiform appendix, acute appendicitis, ovary, fallopian tube and, urinary bladder. Most of the cases of hernia containing ovary and fallopian tubes were reported to be found in children and, often accompanied with other congenital anomalies of genital tract. We present the Wrst case of sliding inguinal hernia containing right ovary and fallopian tube and a right paraovarian cyst in 80-year-old, multiparous patient without any associated genital anomaly. The hernia was repaired with plication darn, while the paraovarian cyst was excised and adnexa were preserved. It is of utmost importance to keep in mind that the hernia sac may contain almost any abdominal organ, and surgical dissection should be carried out accordingly. Pathophysiologically, the ovary might be simply pulled along with a sliding paraovarian cyst or the paraovarian cyst might be accompanying the maldescended ovary. There seems to be a need for clinical and experimental studies to further explain the mechanisms that apply to the pathogenesis of sliding inguinal hernias.

Journal of Surgical Case Reports

Inguinoscrotal hernia containing the urinary bladder is a rare entity found in 1–4% of inguinal hernias, while patients rarely present symptoms of urinary dysfunction. We present the case of a 79-year-old Caucasian male with acute renal dysfunction and incarcerated inguinoscrotal hernia containing the entire urinary bladder. The patient presented in the surgical emergency department due to an incarcerated right inguinoscrotal hernia and deteriorated renal function. Preoperatively, ultrasound imaging was performed, which showed the presence of the whole bladder in the hernia sac. The bladder was repositioned to its anatomic position and hernia was repaired through a modified Lichtenstein technique. In patients with inguinoscrotal hernia and acute urinary tract symptoms, surgeons should be aware of the possibility of inguinal bladder hernia. Preoperative imaging can help in preventing intraoperative bladder damage.

2014

Albeit very uncommon, the hernia sac may contain unusual structures such as vermiform appendix, acute appendicitis, ovary, fallopian tube and, urinary bladder. Most of the cases of hernia containing ovary and fallopian tubes were reported to be found in children and, often accompanied with other congenital anomalies of genital tract. The incidence of ovary and fallopian tube in the inguinal hernia sac is 2.9% in one series whereas a literature search revealed only twelve case reports in adults. We report a case of left ovary and fallopian tube with a left ovarian cyst in the left sided inguinal hernia sac in a 35-year old female who came to surgical ward with a pain in the left groin for 3 months associated with swelling in the left groin for six months duration. On examination a single spherical shaped swelling of about 3x2 cms in size on the left inguinal region. The swelling was soft in consistency and non tender with a expansile cough impulse. The skin over the swelling was not ...

Case Reports in Pediatrics, 2015

A female infant weighing 2,200 g was delivered at 34 weeks of gestation by vaginal delivery. She presented with an irreducible mass in the left inguinal region at 32 days of age. An ultrasonography (US) was performed and an incarcerated hernia containing uterus, fallopian tube, and ovary was diagnosed preoperatively. Surgery was performed through an inguinal approach; the uterus, fallopian tube, and ovary were found in the hernia sac. High ligation and an additional repair of the internal inguinal ring were performed. Patent processus vaginalis was found during contralateral exploration and also closed. The postoperative course was uneventful. After one year of follow-up, there have been no signs of recurrence.

Journal of the Pakistan Medical Association

A 27-year-old married woman came to the emergency room (ER) with the chief complaint of severe pain in the abdomen for 3 days, which was more pronounced in the right iliac fossa, along with the complaint of multiple episodes of vomiting for the last 6 hours. She also gave a history of swelling in the right inguinal region for last 9 months with the complaint of mild on and off pain in the swelling. On physical examination, diagnosis of obstructed inguinal hernia was made. Ultrasonography (USG) of abdomen was of no use, as it only commented on hernial defect and not on the contents of the hernial sac. An emergency surgery was planned; marsupialisation of ovarian cyst, repositioning of fallopian tube along with ovary and herniorrhaphy was performed without any difficulty. Keywords: Ovarian hernia, Inguinal Hernia, Sliding hernia, Fertility.

2020

A female infant weighing 2,200 g was delivered at 34 weeks of gestation by vaginal delivery. She presented with an irreducible mass in the left inguinal region at 32 days of age. An ultrasonography (US) was performed and an incarcerated hernia containing uterus, fallopian tube, and ovary was diagnosed preoperatively. Surgery was performed through an inguinal approach; the uterus, fallopian tube, and ovary were found in the hernia sac. High ligation and an additional repair of the internal inguinal ring were performed. Patent processus vaginalis was found during contralateral exploration and also closed. The postoperative course was uneventful. After one year of follow-up, there have been no signs of recurrence.