Title: A Rarity Seen in Female Inguinal Hernias

Authors: Coelho Victor, Rajesh J Selvakumar, Mark Ranjan Jesudason

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i6.99

Abstract

A thirty-year-old lady presented with left lower abdominal pain radiating to the groin for one day. The pain was associated with a left groin swelling. On examination there was a 3 × 3 cm globular, non-fluctuant, tender and irreducible swelling in the left groin, with a positive cough impulse. Examination of the other hernial sites were normal. She underwent a diagnostic laparoscopy proceed left inguinal exploration and hernia repair. Intraoperatively there was left indirect inguinal hernia with the left ovary, fallopian tube and ectopic rudimentary horn of the uterus as contents. Her post-operative period in the ward was uneventful and she was discharged on the fourth post-operative day.

References

  1. Read RC, White HJ. Inguinal herniation 1777-1977. Am J Surg. 1987; 136(6):651-4.
  2. Khanna et al –Rare presentation of inguinal hernia in a female. World journal of Surgical Research Vol 7.
  3. Gurer A, Ozdogan M, Ozlem N. Uncommon content in groin hernia sac. Hernia J Hernias Abdom Wall Surg. 2006; 10(2):152-5.
  4. Anrabi SIH, Pitale A. Diverticular abscess presenting as a strangulated inguinal hernia: case report and review of literature. Ulster Med J. 2007; 76(2):107-8.
  5. Mayer V, Templeton FG. “Inguinal Ectopia of the ovary and the fallopian tube. Review of the literature and report of the Case of an infant. Archives of Surgery. 1941; 43 397-408.
  6. Omer K, Kaan E, Bozkurt G, Cengiz Y, Gokhan S, Onder O. The inguinal herniation of the ovary in the newborn: Ultrasound and color Doppler ultrasound findings. Case Rep Radiol. 2014;1:3
  7. Clarnette TD, Sugita Y, Hutson JM. Genital anomalies in human and animal models reveal the mechanisms and hormones governing testicular descent. Brit J Urol. 1997; 79:99–112.
  8. Bradshaw KD, Carr BR. Ovarian and tubal inguinal hernia. Obstet Gynecol. 1986; 68:50s–52
  9. Kamio M, Nagata T, Yamasaki H, Yoshinaga M, Douchi T. inguinal hernia containing functioning, rudimentary uterine horn and endometriosis. Obstet Gynecol 2009;113.

Corresponding Author

Coelho Victor

CMC Vellore, India