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    Go to the top of the page   ID: 20031122111836 Original case in english  More links about this topic on Pubmed (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


     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

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

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    4 Months  

     
     Pediatric Radiology CasesGender:

    Female  

     
     Pediatric Radiology CasesRegion-Organ:

    Pelvis-Ovars  

     
     Pediatric Radiology CasesMost likely etiology:

    congenital  

     
     Pediatric Radiology CasesHistory:

    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.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    N/A  

     
     Pediatric Radiology CasesRadiological findings:


    Ultrasound 1 <- 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.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: US-Doppler: Presentation of vascularisation over the connective structure from the abdomen.

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Lymphadenitis inguinalis  

     
     Pediatric Radiology CasesCourse / 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.  

     
     Pediatric Radiology CasesComments 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.  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: 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: 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.  

     
     Pediatric Radiology CasesKeywords:

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

     
     Pediatric Radiology Cases Cite this article:

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

     
     Pediatric Radiology Cases 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
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ 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:

    Search Dirk Schaper in Medline Dirk Schaper (43)   

    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


     

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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


     




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