Abstract
An inguinal hernia may result in protrusion of the uterus through the hernial ring, thus being called a hysterocele. If the female is pregnant, the fetuses’ viability may be compromised, through the incarceration of the uterus in the hernial ring, in addition to harming the female’s systemic homeostasis. Complementary imaging tests, such as ultrasound, are of fundamental importance for the diagnosis and prognosis of the case, with surgery being the recommended treatment. The aim of the present work is to report the case of an eight-year-old female pinscher, diagnosed with a gravid hysterocele, treated by inguinal herniorrhaphy. The patient reached the end of pregnancy with viable fetuses.
Highlights
The swelling in the inguinal region may be indicative of breast neoplasms, mastitis, lipomas, lymphadenopathies, hematomas and abscesses, but it can indicate inguinal hernia (FOSSUM, 2015; NOAKES, 2001; SERIN, 2009)
The hernias may be of a chronic nature, and uterine pregnancy or infection may be determining factors in regard to clinical manifestations, as they may not be noticed by the tutors
Cases of incarceration of the uterus end up leading to toxemia, due to the difficulty of blood irrigation and insufficient lymphatic drainage, or even resulting in the rupture of this structure, which is evident in the eyes of the tutors due to the clinical manifestation of pain presented by these patients. (FOSSUM, 2015; TILEY; SMITH, 1997; STURION, 2013)
Summary
The swelling in the inguinal region may be indicative of breast neoplasms, mastitis, lipomas, lymphadenopathies, hematomas and abscesses, but it can indicate inguinal hernia (FOSSUM, 2015; NOAKES, 2001; SERIN, 2009). Conditions such as obesity, weakening of the abdominal muscles, hormonal, nutritional and/or metabolite factors may predispose to herniation (RAISER; PIPPI, 1998; SLATTER, 2002; STURION, 2013). The production of estrogen modifies the resistance and characteristic of connective tissue, which may weaken or dilate the inguinal rings, (SLATTER, 2002; SIMON, 2013) and, with the increase in abdominal pressure due to pregnancy or obesity, they provide conditions that favor the herniation (READ; BELLENGER, 2003; SERIN, 2009). Females that are in estrous phase are more susceptible to this disease (SLATTER, 2002)
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