Department of Pediatric Surgery, Baskent University, Faculty of Medicine, Ankara, Turkey.
J Pediatr Surg. 2013 Oct;48(10):2157-9. doi: 10.1016/j.jpedsurg.2013.04.027.
Hernia uteri inguinale (HUI), or uterus-containing inguinal hernia, is an extremely rare condition in which the uterus and uterine adnexa are found in the inguinal hernial sac in female infants. The uterus may be free within the sac adherent to the wall by adhesions or a true sliding component. However, in true sliding-type HUI, one of the walls of the hernia sac is formed by the uterus itself.
The medical records for all female children with inguinal hernia who were operated from 1999 through 2010 were reviewed retrospectively (n = 3100).
Among these patients, we identified seven cases of HUI in infants with a normal female karyotype. The incidence of HUI was 0.23%. Patients were discharged on the postoperative 1st day with no complications.
Surgeons should be aware of the possibility of presence of the uterus or another organ in the hernial sac in phenotypic female children, and sliding components should be replaced carefully into the abdomen to prevent any damage.
股疝（HUI），或含子宫的股疝，是一种极为罕见的病症，在这种病症中，女性婴儿的子宫和附件位于腹股沟疝囊内。子宫可能在囊内自由活动，通过粘连或真正的滑动部分与囊壁附着。然而，在真正的滑动型 HUI 中，疝囊的一个壁由子宫本身形成。
回顾性分析了 1999 年至 2010 年间所有接受手术治疗的女性腹股沟疝患儿的病历（n = 3100）。
在这些患者中，我们发现了 7 例具有正常女性核型的 HUI 婴儿。HUI 的发生率为 0.23%。患者术后第 1 天出院，无并发症。
外科医生应该意识到在表型女性儿童的疝囊内可能存在子宫或其他器官的可能性，并且应该小心地将滑动部分替换到腹部内，以防止任何损伤。
