Karadeniz Cerit Kıvılcım, Ergelen Rabia, Colak Emel, Dagli Tolga E
Department of Pediatric Surgery, School of Medicine, Marmara University, 34899 Istanbul, Turkey.
Department of Radiology, School of Medicine, Marmara University, 34899 Istanbul, Turkey.
Case Rep Pediatr. 2015;2015:807309. doi: 10.1155/2015/807309. Epub 2015 Aug 16.
A female infant weighing 2,200 g was delivered at 34 weeks of gestation by vaginal delivery. She presented with an irreducible mass in the left inguinal region at 32 days of age. An ultrasonography (US) was performed and an incarcerated hernia containing uterus, fallopian tube, and ovary was diagnosed preoperatively. Surgery was performed through an inguinal approach; the uterus, fallopian tube, and ovary were found in the hernia sac. High ligation and an additional repair of the internal inguinal ring were performed. Patent processus vaginalis was found during contralateral exploration and also closed. The postoperative course was uneventful. After one year of follow-up, there have been no signs of recurrence.
一名体重2200克的女婴在妊娠34周时经阴道分娩。她在32日龄时出现左侧腹股沟区有一不能还纳的肿块。进行了超声检查(US),术前诊断为嵌顿性疝,疝内容物包含子宫、输卵管和卵巢。通过腹股沟入路进行手术;在疝囊内发现了子宫、输卵管和卵巢。进行了高位结扎并额外修复了腹股沟内环。在对侧探查时发现了鞘状突未闭并也进行了闭合。术后过程顺利。随访一年后,无复发迹象。