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Asymptomatic meconium peritonitis presenting as inguinal hernia in a female neonate

Sivasankar Jayakumar1, Laila Hatsell1, Nitin Patwardhan1

  • 1University Hospitals Leicester, Infirmary road, Leicester, LE15WW, UK.

Journal of Neonatal Surgery
|May 30, 2015
PubMed

Insights

Bilateral irreducible inguinal hernias in a female infant contained omental masses with calcifications, suggesting antenatal intestinal perforation. This rare case highlights unusual contents in pediatric inguinal hernias.

Area of Science:

  • Pediatric Surgery
  • Neonatal Medicine
  • Gastrointestinal Pathology

Background:

  • Inguinal hernias in female infants commonly contain ovaries and can be irreducible.
  • Rarely, hernial sacs may contain other organs such as the appendix, uterus, or bladder.

Observation:

  • A female infant presented with bilateral irreducible inguinal hernias, initially presumed to contain ovaries.
  • Surgical exploration revealed bilateral omental masses with calcifications within the hernial sacs.

Findings:

  • Histological examination of the omental mass showed mucin and meconium-laden macrophages.
  • These findings strongly suggest an antenatal intestinal perforation as the cause.

Implications:

  • This case represents a rare presentation of bilateral irreducible inguinal hernias in a neonate with unusual contents.
  • The findings underscore the importance of considering antenatal intestinal events in the differential diagnosis of pediatric inguinal hernias.

Keywords:
Antenatal perforationBilateral inguinal herniaIncarcerated inguinal hernia

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