Dirk Schaper (Halle [Kinderchirurgie St. Barbara-Krankenhaus])  

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4 Months  

Female  

Pelvis-Ovars  

congenital  

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.  

N/A  

<- 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.

 

Surgery / Histo  

Lymphadenitis inguinalis  

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.  

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.  

N/A  

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.  

Hernia inguinalis , inguinal hernia, Ovary, inguinal hernia with ovary, inguinal ovarian hernia, child, childhood, pediatric radiology  

Dirk Schaper. Inguinal hernia containing ovary. PedRad [serial online] vol 3, no. 11.
URL: www.PedRad.info/?search=20031122111836