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Ovulating ovary in an inguinal hemia
1Department of Surgery Sultan Qaboos Hospital, Sultanate of Oman. haritagolash@hotmail.com
Summary
An ovulating ovary was found in an incarcerated inguinal hernia in a premenopausal woman, a rare occurrence. This case highlights the need for prompt surgical evaluation of irreducible inguinal lumps in women.
Area of Science:
- Reproductive Endocrinology
- Surgical Gynecology
- Hernia Surgery
Background:
- Ovarian presence in inguinal hernias is exceptionally rare in premenopausal women.
- Inguinal hernias containing an ovary are seldom reported, particularly in adults.
Observation:
- A 23-year-old woman presented with a painful, irreducible left labial swelling, diagnosed as an obstructed inguinal hernia.
- Surgical exploration revealed the left ovary and fallopian tube within the inguinal canal, appearing congested but viable with mature follicles.
Findings:
- The incarcerated ovary and fallopian tube were successfully reduced into the abdominal cavity.
- Histological examination confirmed ovarian tissue with mature follicles.
Implications:
- This case underscores the importance of considering ovarian inguinal hernia in the differential diagnosis of irreducible inguinal masses in women.
- Prompt surgical intervention is crucial for incarcerated ovarian inguinal hernias to prevent complications such as ovarian compromise.