Jafari Ramezan, Javanbakht Mohammad, Dehghanpoor Fatemeh
Department of Radiology and Chemical Injuries Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Nephrology and Urology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Eur J Radiol Open. 2020 Jan 28;7:100215. doi: 10.1016/j.ejro.2020.01.004. eCollection 2020.
The incidence rate of ovarian herniation in the inguinal canal is 3 %. Nevertheless, the herniation of ovary with uterus is extremely scarce. Most of these cases are accompanied with congenital genitourinary malformations such as Mayer-Rakitansky-Kuster-Hauser (MRKH) syndrome and Mullerian duct malformations. Herein, a 13-year-old girl presented with type2 MRKH syndrome together with left groin swelling and pain. Sonography reports ovarian herniation into left inguinal canal and magnetic resonance imaging (MRI) confirmed the diagnosis and demonstrated the left ovary, fallopian tube and rudimentary left horn of bicornuate uterus in the left inguinal canal accompanied with ectopic renal of left lower quadrant. Finally, the patient was designed for surgical inguinal exploration and left normal ovary, fallopian tube and rudimentary left horn of bicornuate uterus were replaced in the pelvis.
卵巢疝入腹股沟管的发生率为3%。然而，卵巢伴子宫疝极为罕见。这些病例大多伴有先天性泌尿生殖系统畸形，如迈耶-罗基坦斯基-库斯特-豪泽（MRKH）综合征和苗勒管畸形。在此，一名13岁女孩因2型MRKH综合征伴左侧腹股沟肿胀和疼痛就诊。超声检查报告显示卵巢疝入左侧腹股沟管，磁共振成像（MRI）确诊并显示左侧腹股沟管内有左侧卵巢、输卵管和双角子宫的左侧残角，同时伴有左下腹异位肾。最后，患者接受了腹股沟手术探查，左侧正常卵巢、输卵管和双角子宫的左侧残角被放回盆腔。
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