Maqbool Shahzaib, Huma Ayesha, Anwar Muhammad Idrees, Khan Muhammad Atif, Lee Ka Yiu
Department of Surgery Unit II, Holy Family Hospital, Rawalpindi, Pakistan.
Department of Health Sciences, Mid Sweden University, Sweden.
Int J Surg Case Rep. 2022 Nov;100:107733. doi: 10.1016/j.ijscr.2022.107733. Epub 2022 Oct 12.
Ovarian and fallopian tube indirect inguinal hernias are rare hernias encountered on surgical floor. Herein, we are reporting a rare happening of obstructed ovarian and fallopian tube indirect inguinal hernia in an unmarried female.
A 19 years old unmarried female presented to surgical emergency with complain of swelling in left inguinal region that was about 3 × 3 cm on visual inspection from last 4 days that was associated with menstruation. Abdominal ultrasound (USG) was showing left ovarian and fallopian tube indirect inguinal hernia with preserved internal follicles and intact vasculature. The diagnosis of obstructed ovarian and fallopian tube indirect inguinal hernia was made and diagnostic laparoscopy and left sided hernioplasty was performed. Ovary was retrieved back into abdominal cavity and stitched to lateral pelvic wall.
Inguinal hernia itself is a rare happening in females and the presence of ovary and fallopian tube along with other hernial content can become a topic of discussion due to rarity of this case. It is of paramount significance to diagnose such cases with great expertise in order to avoid long term complications in terms of preserving fertility among females. Early utilization of radiological investigations like USG abdomen and laparoscopic retrieval of adnexal structures are standard approach in management of such cases.
Presence of ovary and fallopian tube in indirect inguinal hernia is a rare happening that need to be diagnosed and treated at earliest to avoid infertility among females.
卵巢和输卵管间接腹股沟疝是外科病房中罕见的疝。在此，我们报告一例未婚女性发生的梗阻性卵巢和输卵管间接腹股沟疝这一罕见病例。
一名19岁未婚女性因左腹股沟区肿胀4天前来外科急诊就诊，目视检查肿胀大小约为3×3厘米，且与月经有关。腹部超声显示左卵巢和输卵管间接腹股沟疝，内部卵泡保留，血管完整。诊断为梗阻性卵巢和输卵管间接腹股沟疝，并进行了诊断性腹腔镜检查和左侧疝修补术。将卵巢回纳至腹腔并缝合于盆腔侧壁。
腹股沟疝在女性中本身就很罕见，卵巢和输卵管连同其他疝内容物的存在因该病例的罕见性而成为讨论的话题。以高超的专业知识诊断此类病例对于避免女性生育方面的长期并发症至关重要。早期使用腹部超声等影像学检查以及腹腔镜下回纳附件结构是此类病例管理的标准方法。
间接腹股沟疝中存在卵巢和输卵管是一种罕见情况，需要尽早诊断和治疗以避免女性不孕。
