Unusual inguinal hernia in a middle-aged patient: when the ovary and fallopian tube pass through the inguinal canal. A case report.
DOI:
https://doi.org/10.31837/cir.urug/8.1.8Keywords:
inguinal hernia, ovary, uterous, perimenopauseAbstract
Inguinal hernia represents the most common pathology of the abdominal wall currently. In the hernia sac, various structures can be found, such as preperitonealphat, smallbowel, colon, oreventhebladder, butthepresenceofthefallopiantubeandovaryisuncommon. Tubo-ovarian content is a frequent finding in pediatric population, while infection is extremely rare in women of reproductive or menopausal age, requiring essential treatment to prevent complications related to fertility and adnexal viability. In order to review the literature described in this regard, given the infrequency of this finding in adult women, we present the following clinical case, along with a review of the available literature. The patient is a 50-year-old woman with a history of uterine fibroids, who underwent surgery of a right inguinal hernioplasty, revealing tube-ovarian content in the hernia sac. Inguinal hernioplasty was performed using the Lichtenstein technique with preservation of adnexa, and there were no postoperative complications. In final conclusions, we consider that intraoperative finding of tube-ovarian content in inguinal hernia surgery in adult women are uncommon, and knowledge and management of this condition are necessary for the general surgeon. A high index of suspicion is required to avoid complications and provide the most optimal surgical treatment for the well-being of patients.
Downloads
Metrics
References
Maqbool S, Huma A, Anwar MI, Khan MA, Lee KY. Ovary and fallopian tube as contents of indirect inguinal hernia: A case report. Int J Surg. 2022;100:107733. doi: 10.1016/j.ijscr.2022.107733.
Kumar A, Kumar A, Anwer M, Kumar D. Case of mullerian agenesis presenting as bilateral inguinal hernia with left sided irreducibility in a 21 years old female: A rare case report. Int J Surg Case Rep. 2023;103:107895. doi: 10.1016/j.ijscr.2023.107895.
Gurer A, Ozdogan M, Ozlem N, Yildirim A, Kulacoglu H, Aydin R. Uncommon content in groin hernia sac. Hernia. 2006;10(2):152–5. doi: 10.1007/s10029-005-0036-4
Ueda J, Yoshida H, Makino H, Maruyama H, Yokoyama T, Hirakata A, et al. Right inguinal hernia encompassing the uterus, right ovary and Fallopian tube in an elderly female: Case report. J NipponMedSch. 2016;83(2):93–6. doi: 10.1272/jnms.83.93
Vera-Portilla AF, Vera-Portilla W, Añazco H. Hernia inguinal tubo-ovárica izquierda estrangulada. An Fac Med (Lima Peru?:1990). 2022;83(4):353–5. doi:10.15381/anales.v83i4.23705
Mohanty HS, Shirodkar K, Patil AR, Rojed N, Mallarajapatna G, Nandikoor S. A rare case of adult ovarian hernia in MRKH syndrome. BJR Case Rep. 2017;3(3):20160080. doi:10.1259/bjrcr.20160080
Goyal S, Shrivastva M, Verma RK, Goyal S. “Uncommon contents of inguinal hernial sac”: A surgical dilemma. TheIndianJournalofSurgery. 2015;77(Suppl 2):305-9. doi:10.1007/s12262-013-0806-7
Ramírez-Mendoza CH, Sánchez-Sierra LE, Romero-Lanza A, Chicas Reyes A. Hernia inguinal derecha con presencia de útero, trompa de Falopio y ovario, asociada a síndrome de Mayer-Rokitansky-Küster-Hauser. Cir Gen. 2021;43(2):137–40. doi:10.35366/106726
Gatica Bravo FP, Sandoval Sanzana E, Schneider Lopez E. Hernia útero inguinal derecha atascada en mujer en edad fértil: reporte de un caso. Rev Cirugia. 2021;73(1):100–2. doi:10.35687/s2452-45492021001828
Deng Y, Wang Y, Wang B, Hao L. Uterus inguinal hernia accompaniment didelphys uterus: A case report. Int J Surg Case Report. 2020;77:570–2. doi:10.1016/j.ijscr.2020.11.069
Prodromidou A, Machairas N, Garoufalia Z, Kostakis ID, Kyriakidis AV, Spartalis E, et al. Ovarian inguinal hernia. Ann R Coll Surg Engl. 2020;102(2):75–83. doi: 10.1308/rcsann.2019.0137
Saini R, Bains L, Kaur T, Lal P, Pal V, Beg MY, et al. Ovarian inguinal hernia – a possibility in MURCS syndrome. J Ovarian Res. 2021;14(1)114. doi: 10.1186/s13048-021-00869-y.
Mahey R, Rana A, Cheluvaraju R, Vyas S, Raj R, Bhatla N. An unusual association of type II Mayer-Rokitansky-Kuster-Hauser syndrome, turner mosaic syndrome and tubo-ovarian inguinal hernia– case report and review of literature. J Ovarian Res. 2023;16(1)43. doi: 10.1186/s13048-022-01067-0.
Carvajal Lopez A, Naranjo Aristizabal F, Florez Arango N, Valencia Gómez Y, Carvajal López A. Hernia inguinal con útero y anexos como contenido del saco herniario: reporte de caso y revisión de la bibliografía. RevistaHispanoamericana Hernia. 2017;5(4):173-5.doi:10.20960/rhh.45
Graul A, Ko E. Indirect inguinal hernia containing a Fallopian tube and ovary in a reproductive aged woman. Case Rep Obstet Gynecol. 2014;2014:437340.doi: 10.1155/2014/437340
Virgínia AA, Santos C, Contente H, Branco C. What is inside the hernia sac?. BMJ Case Rep . 2016. doi: 10.1136/bcr-2016-215920.
Park YH, Jung EJ, Byun JM, An MS, Kim YN, Lee KB, et al. Laparoscopic total extraperitoneal hernia repair of fallopian tube indirect inguinal hernia in reproductive aged woman: a case report. ObstetGynecol Sci. 2017;60(6):608-11. doi: 10.5468/ogs.2017.60.6.608.
Ahmed M, Rage K, Saeed S. Utero-ovarian inguinal hernia in a young female with Mayer–Rokitansky–Küster–Hauser syndrome type 2. Saudi J Med Med Sci. 2022;10(1):79-80. 10.4103/sjmms.sjmms_204_21
Samantroy S, Mishra A, Panda J, Jena P. Ovarian inguinal hernia in premenopausal women: A case report. Cureus. 2021;13(12). doi:10.7759/cureus.20846
Amreen S, Yaseen Y. Ovarian inguinal hernia. J Ultrason. 2020;20(82):226–7. doi:10.15557/JoU.2020.0039
Downloads
Published
How to Cite
Issue
Section
License
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.
All articles, videos and images published in Revista Cirugía del Uruguay are under the Creative Commons CC licenses, which is a complement to the traditional copyright, in the following terms: first, the authorship of the referred document must always be acknowledged and secondly none of the article or work published in the journal may have commercial purposes of any nature. The authors retain their copyrights and give the magazine the right of first publication of their work, which will be simultaneously subject to the Creative Commons Attribution-NonCommercial 4.0 International License license that allows the work to be shared whenever the initial publication is indicated in this journal.