Ovarian Hernia : A rarity = فتق المبيض : حالة نادرة

Kamran A Malik,Hani Al Qadhi,Abdullah Al Harthy,Ruqaiya M Al Shehhi,Moza Al Kalbani

doi:10.12816/0003117

Abstract

Ovarian hernias are extremely rare. The prevalence of ovaries and fallopian tubes in operable inguinal hernias is only about 2.9%. We report here an unusual case of an ovary in a hernia sac in an adult female. She presented with symptoms and signs of an incarcerated left inguinal hernia. The left ovary contained a haemorrhagic cyst and, along with the left fallopian tube and broad ligament, these were found in the sac. She underwent a left ovarian cystectomy and the inguinal hernia was repaired with mesh.

Highlights

A retrograde analysis of 1,950 cases of operable inguinal herniae showed that the vermiform appendix was present in 0.51% of the cases, ovaries and fallopian tubes in 2.9%, and urinary bladder in 0.36%
We report here on unusual contents within a hernia sac in an adult female who presented with symptoms and signs of an incarcerated left inguinal hernia
Okada et al suggested a few hypotheses as to the mechanism by which this may occur.[4]. One of these hypotheses speculates that weakness of the broad ligaments or ovarian suspensory ligaments can contribute to ovarian herniation into the inguinal ring

Summary

CASE REPORT

‫ نقدم‬.‫من حالات الفتق الآربي القابلة للتدخل الجراحي‬ ‫ احتوى‬.‫ب أعرا ض ت شابه الفتق المنحب س بالجهة الي سرى‬. We report here an unusual case of an ovary in a hernia sac in an adult female. She presented with symptoms and signs of an incarcerated left inguinal hernia. The left ovary contained a haemorrhagic cyst and, along with the left fallopian tube and broad ligament, these were found in the sac She underwent a left ovarian cystectomy and the inguinal hernia was repaired with mesh. A retrograde analysis of 1,950 cases of operable inguinal herniae showed that the vermiform appendix was present in 0.51% of the cases, ovaries and fallopian tubes in 2.9%, and urinary bladder in 0.36%.1. We report here on unusual contents within a hernia sac in an adult female who presented with symptoms and signs of an incarcerated left inguinal hernia. The patient underwent an ovarian cystectomy and her hernia was repaired with mesh

Case Report

Discussion

Findings

Conclusion