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伴有腹股沟异位半子宫和卵巢的OHVIRA罕见病例。

Rare Case of OHVIRA with Ectopic Inguinal Hemiuterus and Ovary.

作者信息

Welke Stefanie, Kosch Ferdinand, Müller Andreas, Hufnagel-Schmude Amelie, Rother Leonie, Ellerkamp Verena

机构信息

Department of Pediatric Surgery and Pediatric Urology, Municipal Hospital Karlsruhe, Karlsruhe, Germany.

Department of Obstetrics and Gynecology, Karlsruhe Municipal Hospital, Moltkestrasse, Karlsruhe, Germany.

出版信息

European J Pediatr Surg Rep. 2025 May 8;13(1):e4-e8. doi: 10.1055/a-2590-6030. eCollection 2025 Jan.

Abstract

A 12-year-old girl presented with inguinal swelling and recurrent groin pain since menarche. Ultrasound showed an inguinally located ovary with normal perfusion. Herniorrhaphy revealed an ectopic inguinal left ovary with fallopian tube and atretic hemiuterus and a closed internal inguinal ring. Laparoscopy revealed a right-sided hemiuterus and vaginally palpable cervix, leading to the diagnosis of ectopic OHVIRA syndrome type 1.2. The left hemiuterus was resected and the left ovary was pulled through the inguinal canal into the abdomen. During 12 months of follow-up, the left ovary showed normal perfusion and sonomorphologic appearance, menstrual periods were uneventful.

摘要

一名12岁女孩自月经初潮以来出现腹股沟肿胀和反复腹股沟疼痛。超声显示腹股沟区有一个卵巢,血流灌注正常。疝修补术发现左侧腹股沟异位卵巢伴输卵管及闭锁的半侧子宫,腹股沟内环关闭。腹腔镜检查发现右侧半侧子宫和阴道可触及的宫颈,从而诊断为1.2型异位OHVIRA综合征。切除左侧半侧子宫,并将左侧卵巢经腹股沟管拉入腹腔。在12个月的随访中,左侧卵巢血流灌注和超声形态正常,月经周期正常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229b/12061488/e3001b30f468/10-1055-a-2590-6030-i2024060763cr-1.jpg

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