The management of an ectopic ovary in the inguinal canal: literature review and discussion

Webb, James; Fallon, Sara C.; López, Mónica E.; Boswell, Hillary B.; Dietrich, Jennifer E.; Brandt, Mary L.

doi:10.1007/s00383-014-3582-y

Cited by 8 publications

(5 citation statements)

References 20 publications

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“…The hernia in the inguinal region usually contains the omentum and small intestine but rarely can contain unusual contents like the appendix [ 11 ], Meckel's diverticulum [ 12 ], ovary with fallopian tubes [ 13 ], sigmoid colon [ 14 ], and urinary bladder.…”

Section: Discussionmentioning

confidence: 99%

Inguinal Bladder and Ureter Hernia Permagna: Definition of a Rare Clinical Entity and Case Report

Angelis

Mantovani

Lecce

et al. 2018

Case Reports in Surgery

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Background Inguinoscrotal herniation of the bladder is a rare clinical entity, with a frequency between 0.5% and 4% of all inguinal hernias. The bladder can partially or entirely herniate into the inguinal canal; when the whole bladder and ureters migrate into the scrotum, it may cause urinary disorders. Case Presentation A 62-year-old male patient presented with urinary disorders and right-sided inguinoscrotal hernia. Under clinical suspicion of bladder involvement in the inguinal canal, abdominal and pelvic computed tomography (CT) scan with endovenous contrast was performed, revealing a right inguinoscrotal hernia, containing the whole urinary bladder and the right pelvic ureter. Without violating the urinary bladder wall integrity, the content of the hernial sac was reduced into the abdominal cavity. Hernioplasty was performed by means of Lichtenstein's method. Conclusions Ureteral involvement should be suspected when a clinical inguinal hernia is diagnosed concurrently with unexplained hydronephrosis, renal failure, or urinary tract infection, as in the case described. When suspected, the preoperative diagnosis, particularly with CT scan, is essential to avoid complications and to reduce risk of bladder and ureter injuries during hernia repair.

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Section: Discussionmentioning

confidence: 99%

Inguinal Bladder and Ureter Hernia Permagna: Definition of a Rare Clinical Entity and Case Report

Angelis

Mantovani

Lecce

et al. 2018

Case Reports in Surgery

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“…Maldescended ovaries may be located at various points along the ovarian migration path. In our case, it was seen behind the ascending colon; they have been reported in inguinal hernia[ 5 ] above the pelvic brim[ 6 ] and subhepatic region,[ 7 ] which suggests ovarian maldescent follows the course of the gubernaculum in women. This rare congenital anomaly of the female genital tract may also be accompanied by urinary tract anomalies; therefore, it is advised to review the urological system in the radiological scans and perform ureterolysis during laparoscopic excision, as we did in our case [ Figure 2 ].…”

Section: Discussionmentioning

confidence: 52%

Laparoscopic management of maldescended ovary presenting with recurrent acute abdomen

Ireo

Haruna

Gandhi

2018

Gynecol Minim Invasive Ther

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Ovarian maldescent is an extremely rare gynecological phenomenon, usually associated with Müllerian abnormalities. We report a 27-year-old woman, presenting with acute, right-sided abdominal pain. She has a history of subfertility and repeated admissions with chronic pelvic pain. Previous hysterosalpingogram and laparoscopy demonstrated unicornuate uterus with absent right fallopian tube and ovary. A right-sided, ectopic ovary was identified on later imaging and suspected as the cause of her symptoms. She underwent laparoscopic excision of the maldescended ovary with remnant fimbrial end and gubernaculum. She was discharged the following day as she was pain-free and remains so 11 months later. This case report prompts a gynecologist to consider diagnosis of maldescended ovary in the women with uterine abnormalities and repeated episodes of abdominal pain. This is the first case report to the best of our knowledge where surgical management of ovarian maldescent was performed via minimal access approach, thus avoiding laparotomy in this acute setting.

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“…Ectopic ovaries can present as primary infertility (13), a hernia or cyst in the inguinal canal (14), acute appendicitis (3), ovarian malignancy (15), a Brenner tumor (16), a Wilms' tumor (17), as well as a GIST. Ectopic ovaries can cause irregular menses and pain (18), and are often accompanied by an abnormal urinary system (11) or a mature teratoma (19).…”

Section: Discussionmentioning

confidence: 99%

A Rare Ectopic Ovary Mimicking Colon Sigmoideum Mesenchymoma Presenting as an Intestinal Mesenchymoma

Wang

2019

Front. Oncol.

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Ectopic ovaries are a rare occurrence. A 33-year-old woman presented to our unit for evaluation of a 2-year history of sporadic abdominal pain that was becoming sharp and frequent. Computed tomography (CT) suggested a gastrointestinal tract mesenchymoma. An abdominal laparotomy was performed and the tumor was excised for pathologic evaluation. A rapid frozen section pathologic examination showed a solitary fibrous tumor (SFT). The final pathology report was an ectopic ovary with corpora lutea bleeding. Ectopic ovaries are benign and the present case is the first report involving an ectopic ovary mimicking a gastrointestinal stromal tumor (GIST). The patient recovered well after surgery. Maldevelopment of the genital tract can lead to ectopic ovaries and surgery is a good management choice. The present case provides a possible differential diagnosis for GISTs.

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The management of an ectopic ovary in the inguinal canal: literature review and discussion

Cited by 8 publications

References 20 publications

Inguinal Bladder and Ureter Hernia Permagna: Definition of a Rare Clinical Entity and Case Report

Inguinal Bladder and Ureter Hernia Permagna: Definition of a Rare Clinical Entity and Case Report

Laparoscopic management of maldescended ovary presenting with recurrent acute abdomen

A Rare Ectopic Ovary Mimicking Colon Sigmoideum Mesenchymoma Presenting as an Intestinal Mesenchymoma

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