Nsiah-Asare Ena-Nicole, Hooker Angelo B, Muller Sandra, Huirne Judith A F
Zaans Medisch Centrum, afd. Verloskunde en Gynaecologie, Zaandam.
Contact: Angelo B. Hooker (
Ned Tijdschr Geneeskd. 2023 Mar 15;167:D6667.
Chronic pelvic pain, a continuous or intermittent, non-menstrual and non-cyclic pelvic pain, lasting for at least six months and of sufficient severity to interfere with daily activities, remains a medical challenge. Thorough evaluation is advised as unrecognized abnormalities can be present.
A 22-years-old nulligravid with a inguinal herniorrhaphy during infancy was referred with chronic pelvic pain. The left ovary and tube were trapped in the inguinal canal. Laparoscopy confirmed the left ovary and tube adherent to the anterior abdominal wall. Dissection with adhesiolysis freed the dislocated left tube and ovary. A laparoscopic transabdominal pre-peritoneal (TAPP) procedure was performed to prevent hernia recurrence. The patient is since then pain free.
Chronic pelvic pain can be a sing of an adnexal dislocation, which is a rare complication following inguinal hernia repair. Medical history is of great importance to reveal this unexpected condition.
慢性盆腔疼痛是一种持续或间歇性的、非月经性且非周期性的盆腔疼痛，持续至少六个月且严重程度足以干扰日常活动，仍然是一个医学难题。建议进行全面评估，因为可能存在未被识别的异常情况。
一名22岁未孕女性，婴儿期行腹股沟疝修补术，因慢性盆腔疼痛前来就诊。左侧卵巢和输卵管被困于腹股沟管内。腹腔镜检查证实左侧卵巢和输卵管与前腹壁粘连。通过粘连松解术进行分离，使脱位的左侧输卵管和卵巢得以松解。为防止疝复发，进行了腹腔镜经腹腹膜前（TAPP）手术。此后患者不再疼痛。
慢性盆腔疼痛可能是附件脱位的表现，这是腹股沟疝修补术后一种罕见的并发症。病史对于揭示这种意外情况非常重要。
