“Laparoscopic Excision of a Large Ovarian Cyst Herniating Into the Inguinal Canal

Machado, Norman Oneil; Machado, Lovina; Ghafri, Wadha Al

doi:10.1097/sle.0b013e31822671d3

Cited by 10 publications

(8 citation statements)

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“…12 Ovarian cyst can be dealt with effectively with the help of laparoscopy, particularly if the cyst is benign with concomitant repair of inguinal hernia if the diagnosis is made preoperatively. 13 This was not applicable to our patient as our preoperative diagnosis was displayed obstructed sliding inguinal hernia.…”

Section: Discussionmentioning

confidence: 81%

Unusual Contents of Inguinal Hernial Sac With Paraovarian Cyst as Content

Kapu¹,

Devanandam²

2017

jebmh

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BACKGROUND Unusual contents of inguinal hernia are relatively rare, which include appendix (0.6%), ovaries with fallopian tube (2.9%) and bladder (0.36%). Among those rare contents, our case is regarding the presence left paraovarian cyst with ovary and fallopian tube. The presence of ovaries with fallopian tube is mostly seen in infants and children. But, it is relatively rare in adults. We present a case of left obstructed sliding indirect inguinal hernia containing left ovary with paraovarian cyst and fallopian tube. For this case, paraovarian cystectomy, salpingo-oophorectomy along with herniorrhaphy was done. As surgeons frequently get exposed to inguinal hernia surgeries, seldom they may come across such rare contents. So, they should be careful while dissecting a hernial sac.

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Section: Discussionmentioning

confidence: 81%

Unusual Contents of Inguinal Hernial Sac With Paraovarian Cyst as Content

Kapu¹,

Devanandam²

2017

jebmh

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“…[8][9][10][11][12] Three others described hernias containing ovarian cysts. [13][14][15] In two case reports, the hernia contents were not of ovarian origin. 16,17 In another paper, the hernial sac contained a mass that histopathologically mimicked a uterus with a leiomyomatous lesion.…”

Section: Resultsmentioning

confidence: 98%

Ovarian inguinal hernia

Prodromidou

Machairas

Garoufalia

et al. 2020

annals

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Introduction Gynaecological structures such as the ovaries, fallopian tubes, ligaments and uterus are rarely encountered inside a hernial sac. The prevalence of groin hernias containing parts of female genitalia remains unknown. The aim of this review was to summarise the existing evidence on inguinal hernias containing ovaries with or without the other female adnexa. Methods A systematic search was conducted for literature published up to February 2018 using the MEDLINE®, Scopus® and Google Scholar™ databases along with the references of the full-text articles retrieved. Papers on observational studies and case reports concerning women who were diagnosed with an ovarian inguinal hernia (pre or intraoperatively) were considered eligible for inclusion in the review. Results Fifteen papers (13 case reports, 2 case series) comprising seventeen patients (mean age 47.9 years) were evaluated. A left-sided hernia was noted in 13 cases (77%) whereas 4 patients had a right-sided hernia. Eight patients underwent preoperative imaging with computed tomography, ultrasonography or both. This was diagnostic in five cases. In 11 patients, hernia contents were repositioned, 2 had a salpingo-oophorectomy and 2 an oophorectomy. Eight patients underwent hernia repair with mesh placement while three had a herniorrhaphy. Conclusions Ovarian inguinal hernias should be considered among the differential diagnoses of a groin mass or swelling. In women of reproductive age, repair of the hernia with the intent to preserve fertility is of critical importance.

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“…And, to avoid mesh infection, we feel that it is better to perform pure tissue repair in such emergent situations. Although laparoscopic management of ovarian hernia is described in literature [5], we feel that it may be avoided in such an emergency situation. …”

Section: Discussionmentioning

confidence: 99%

Ruptured Hemorrhagic Ovarian Cyst Presenting as an Incarcerated Inguinal Hernia in an Adult Female: A Rare Clinical Scenario of a Common Surgical Emergency

Jategaonkar

Yadav

2013

Case Reports in Emergency Medicine

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Embryoanatomical peculiarities are responsible for low occurrence of inguinal hernias in females. Amongst them, ovarian hernias are rarer. They are commonly noticed in children. An attending surgeon commonly faces diagnostic and operative dilemmas in managing these overtly “simple-looking” clinical scenarios. Although ovarian cysts are one of the common contents of the sac, we report a case of adult incarcerated ovarian hernia who presented with a ruptured hemorrhagic ovarian cyst. This differential should be kept in mind while treating an adult female with painful inguinal swelling. As far our knowledge goes, such case with ruptured ovarian cyst presenting as an incarcerated hernia in an emergency scenario has not been reported as yet.

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“Laparoscopic Excision of a Large Ovarian Cyst Herniating Into the Inguinal Canal

Cited by 10 publications

References 0 publications

Unusual Contents of Inguinal Hernial Sac With Paraovarian Cyst as Content

Unusual Contents of Inguinal Hernial Sac With Paraovarian Cyst as Content

Ovarian inguinal hernia

Ruptured Hemorrhagic Ovarian Cyst Presenting as an Incarcerated Inguinal Hernia in an Adult Female: A Rare Clinical Scenario of a Common Surgical Emergency

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