Reddy Kavyanjali, Gharde Pankaj, Tayade Harshal, Patil Mihir, Reddy Lucky Srivani
Department of Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2023 Dec 9;15(12):e50251. doi: 10.7759/cureus.50251. eCollection 2023 Dec.
Gynecological components, including ovaries, fallopian tubes, ligaments, and the uterus, are seldom found within hernial sacs. The occurrence of groin hernias containing elements of female genitalia is not well-documented. This case report presents a 37-year-old woman with a unique clinical scenario involving an inguinal hernia containing the left ovary and an associated ectopic left pelvic kidney. The patient's clinical history, characterized by left inguinal pain and swelling, is detailed, including relevant reproductive and medical background. The diagnostic journey encompasses ultrasound and contrast-enhanced computed tomography, revealing the left-sided inguinal hernia with the left ovary. The report emphasizes the challenges posed by the coexistence of inguinal hernia, ovarian involvement, and ectopic pelvic kidney. A multidisciplinary approach is highlighted, encompassing surgical and medical considerations. Surgical intervention involves left-sided inguinal hernioplasty, with a particular focus on fertility preservation through the careful repositioning of the ovary. Postoperative care and considerations for successful recovery are discussed. In conclusion, this case report sheds light on the intricacies of managing a complex clinical presentation, providing insights into diagnostic, surgical, and postoperative aspects. The rarity of such cases underscores the need for ongoing research and collaborative discussions within the medical community.
妇科器官，包括卵巢、输卵管、韧带和子宫，很少出现在疝囊内。关于含有女性生殖器成分的腹股沟疝的发生情况，文献记载并不充分。本病例报告介绍了一名37岁女性，她有着独特的临床情况，即腹股沟疝内包含左侧卵巢以及与之相关的异位左盆腔肾。详细描述了患者以左侧腹股沟疼痛和肿胀为特征的临床病史，包括相关的生殖和医学背景。诊断过程包括超声检查和增强计算机断层扫描，结果显示左侧腹股沟疝伴有左侧卵巢。该报告强调了腹股沟疝、卵巢受累和异位盆腔肾并存所带来的挑战。突出了多学科方法，包括手术和医学方面的考量。手术干预包括左侧腹股沟疝修补术，特别注重通过小心地重新安置卵巢来保留生育能力。讨论了术后护理及成功康复的注意事项。总之，本病例报告揭示了处理复杂临床表现的复杂性，为诊断、手术和术后方面提供了见解。此类病例的罕见性凸显了医学界持续开展研究和协作讨论的必要性。
