Department of Pediatric Surgery, G. d'Annunzio University of Chieti-Pescara, via dei Vestini 31, 66013 Chieti, Italy.
J Pediatr Surg. 2013 Jan;48(1):e17-9. doi: 10.1016/j.jpedsurg.2012.09.065.
Indirect inguinal hernia is the most common congenital anomaly in the pediatric age group. About 15-20% of hernias in infant girls contain ovary, sometimes with a Fallopian tube. The presence of the uterus incarcerated with the adnexa is a very unusual occurrence in female infants with normal kariotype and phenotype, being commonly associated with several disorders of sex development. The surgical repair of this form of hernia is more difficult than a common herniorrhaphy because of the adhesions between the organs and the wall of the sac and the risk of damage during their freeing. We present a rare case of irreducible indirect inguinal hernia containing uterus and bilateral adnexa (fallopian tubes and ovaries) in a premature female infant, discussing the etiopathogenesis and the surgical features of this disorder.
腹股沟斜疝是儿童期最常见的先天性异常。约 15-20%的女婴疝中包含卵巢，有时还有输卵管。在正常核型和表型的女婴中，子宫与附件（输卵管和卵巢）嵌顿是一种非常罕见的情况，常与多种性发育障碍有关。由于器官与疝囊壁之间的粘连以及在松解过程中损伤的风险，这种疝的手术修复比普通疝修补术更为困难。我们报告了一例罕见的不可复性女性婴儿腹股沟斜疝病例，其中包含子宫和双侧附件（输卵管和卵巢），讨论了这种疾病的病因和手术特点。
