Ovarian inguinal hernia

Abstract

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.

Hernia útero inguinal derecha atascada en mujer en edad fértil: reporte de un caso

“…Según una revisión sistemática de Promidou et al 11 , hasta febrero de 2018, se reportan 17 casos de hernias ovario inguinal, excluyendo casos que se asociaban a defectos del tracto genital, dando una prevalencia de 3%, demostrando lo infrecuente que es este tipo de contenido herniario en mujeres, sin defectos en el desarrollo del tracto genital conocidos.…”

Ovarian inguinal hernia – a possibility in MURCS syndrome

“…3 Association between MRKH type I syndrome and inguinal hernia with ovary as a content has been reported in few isolated case reports however delayed presentation in adult age with MURCS is very rare. 4 Such cases also have abnormal genital development. Such presentations are found uncommonly in adult females.…”

“…3 A recent systematic search of 17 cases of ovarian inguinal hernia in women of reproductive age group analysed their presentation and treatment. 4 We report an unusual case of MURCS syndrome associated with inguinal hernia with ovary and fallopian tube as its content.…”

Uterus inguinal hernia accompaniment didelphys uterus: A case report

“…Surgical management is also towards preserving or restoring fertility and preventing malignant transformation [ 7 ]. The viability of the gynecological structures and the difficulty of repositioning them in the abdominal cavity also should be considered before restoration [ 8 ]. Because this procedure is more complex and difficult than ordinary repairs of inguinal hernia, accurate preoperative diagnosis is very important.…”