Inguinal hernia containing ovary :: Peer Reviewed Pediatric Radiology Cases: :: The peer reviewed Pediatric Radiology teaching file server / case collection

ID: 20031122111836 ( 180 times read )	(PubMed Reader)
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	Inguinal hernia containing ovary Dirk Schaper. Inguinal hernia containing ovary. PedRad [serial online] vol 3, no. 11. URL: www.PedRad.info/?search=20031122111836
	Images to this case:	[ Ultrasound ] [ All ]
	Author/s:	Dirk Schaper (Halle [Kinderchirurgie St. Barbara-Krankenhaus])
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	Age:	4 Months
	Gender:	Female
	Region-Organ:	Pelvis-Ovars
	Most likely etiology:	congenital
	History:	4 month old female baby, acute swelling in the left groin, no pain, no redness, good general condition, palpable swelling in the inguinal region, well movable resistance.
	Pathomorphology or Pathophysiology of this disease :	N/A
	Radiological findings:	<- view Ultrasound 1 Ultrasound 1: In the B-mode, an echocomplex structure with connection to the abdominal cavity is seen subcutaneously . Presentation of small cystic areas within the oval structure. <- view Ultrasound 2 Ultrasound 2: US-Doppler: Presentation of vascularisation over the connective structure from the abdomen.
	Diagnosis confirmation:	Surgery / Histo
	Which DD would be also possible with the radiological findings:	Lymphadenitis inguinalis
	Course / Prognosis / Frequency / Other :	Clinically there was already a suspicion of an inguinal herniation with the ovary as its contents. Sonographically, this could be proven using the B-mode ultrasound. To avoid harm to the ovary, a reposition was not made; the blood supply and therewith the vitality of the ovary was observed with doppler sonography. These children are transferred to the surgical department to prevent infarction through istragulation or torsion.
	Comments of the author about the case:	It is tried over and over again to reponate inguinal hernias by girls. In a case of a herniated ovary, this could be very problematic. A swelling of the organ can completely hinder this. When in doubt, we recommend a sonographic examination in order to assess the contents of the hernia, which may prevent an unnecessary, failed reposition.
	First description / History:	N/A
	Literature:	1. Medline: Goske MJ, Emmens RW, Rabinowitz R. Inguinal ovaries in children demonstrated by high resolution real-time ultrasound Radiology. 1984 Jun;151(3):635-6. 2. Medline: Boley SJ, Cahn D, Lauer T, Weinberg G, Kleinhaus S. The irreducible ovary: a true emergency J Pediatr Surg. 1991 Sep;26(9):1035-8.
	Keywords:	Hernia inguinalis , inguinal hernia, Ovary, inguinal hernia with ovary, inguinal ovarian hernia, child, childhood, pediatric radiology
	Cite this article:	Dirk Schaper. Inguinal hernia containing ovary. PedRad [serial online] vol 3, no. 11. URL: www.PedRad.info/?search=20031122111836
	Read similar articles:	with corresponding keywords in the same field: Pelvis-Ovars or in the region: Pelvis or in the tissue/organ: Ovars or with the etiology: congenital
	Images to this case:	[ Ultrasound ] [ All ]
	Inguinal hernia containing ovary Dirk Schaper. Inguinal hernia containing ovary. PedRad [serial online] vol 3, no. 11. URL: www.PedRad.info/?search=20031122111836
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Inguinal hernia containing ovary Other cases by these authors: Dirk Schaper (43) 1: Testicular microlithiasis 2: Intravaginal testicular torsion 3: Mesorchial testicular torsion 4: Idiopathic acute scrotal edema 5: Extended triplane I fracture 6: Vitelline duct cyst 7: Perforated appendicolith 8: Gallbladder hydrops with evolving cholecystitis 9: Hydatid torsion 10: Ectopic ureterocele 11: Thoracic lymphangioma with acute hemorrhage 12: Complicated van Neck's Disease 13: Pathologic fracture with juvenile bone cyst 14: Spondylodiscitis L4/5 15: Hypertrophic pyloric stenosis 16: Acute appendicitis 17: Congenital diaphragmatic hernia (CDH), left 18: Stress fracture of the proximal tibia 19: Ileocolic invagination, pneumatic devagination 20: Pancreatic rupture with pseudocyst formation 21: Testicular fracture 22: Inguinal hernia containing ovary 23: Cranial fracture - parietal 24: Omental cyst 25: Ureterocele (adult form) 26: Functional right ovarian cyst 27: Bladder Diverticulum with Double Kidneys and Duplicated Ureter 28: Neonatal "Chambered" Ovarian Cyst - Cyst within a Cyst 29: Duplicated Renal Collecting System with Hydronephrosis of the Upper Pole Moiety due to Ectopic Ureter 30: Bochdalek's Hernia with pleuroperitoneal covering 31: Reversible Ceftriaxone Associated Biliary Pseudolithiasis 32: Splenic Lymphangioma 33: Prenatal torqued and infarcted ovarian cyst 34: Epididymal Cyst with Testicular Retention, Hydatid and Hydrocele 35: Unilocular Congenital Hepatic Cyst 36: Congenital internal Duodenal Stenosis 37: Temporary Obstruction of the Appendix 38: Spermatocele 39: Asymptomatic Solitary Gallbladder Stone in Hereditary Spherocytosis 40: B-cell NHL of the Ileum (Type: Sporadic Burkitt Lymphoma) 41: Rapunzel syndrome grade I° due to trichobezoar 42: Bowel perforation and ileus after ingestion of magnets 43: CES - Congenital Esophageal Stenosis Inguinal hernia containing ovary
	Inguinal hernia containing ovary Dirk Schaper. Inguinal hernia containing ovary. PedRad [serial online] vol 3, no. 11. URL: www.PedRad.info/?search=20031122111836
Which diagnosis have other collegues guessed? Lymphadenitis inguinalis Votes: 1 (8 %) Hernia inguinalis with intestines Votes: 2 (16 %) Hernia inguinalis with ovary Votes: 9 (75 %) Pseudohermaphroditism Votes: 0 (0 %) Total answers: 12
	Inguinal hernia containing ovary Dirk Schaper. Inguinal hernia containing ovary. PedRad [serial online] vol 3, no. 11. URL: www.PedRad.info/?search=20031122111836
Medical Dictionary Search in medical dictionary for Or type in a keyword ( Provided by The On-Line Medical Dictionary ) How interesting was this case for you? (10 = most interesting \|\| 1 = less interesting) This case was evaluated as very interesting (Grade 7.8).
	Inguinal hernia containing ovary Dirk Schaper. Inguinal hernia containing ovary. PedRad [serial online] vol 3, no. 11. URL: www.PedRad.info/?search=20031122111836