Uterus inguinal hernia accompaniment didelphys uterus: A case report.

Area of Science:

• Reproductive Medicine
• Surgical Case Reports
• Gynecologic Surgery

Background:

• Inguinal hernias involving reproductive organs are rare in women of reproductive age.
• Such conditions are typically diagnosed and managed during childhood.
• This article presents a unique case of uterine inguinal herniation with uterus didelphys.

Observation:

• A 15-year-old female presented with a reducible right inguinal mass.
• Surgical exploration revealed the infantile uterus, ovaries, and fallopian tubes within the hernia sac.
• Laparoscopic examination confirmed a normal pelvic uterus.

Findings:

• The patient underwent a successful Lichtenstein operation for the uterine inguinal hernia.
• Post-operative recovery was uneventful, with discharge after 3 days.
• Laparoscopy proved essential for accurate diagnosis and avoiding damage to reproductive structures.

Implications:

• Uterine inguinal hernia should be considered in the differential diagnosis of inguinal masses in women of childbearing potential.
• Congenital anomalies of the reproductive organs should also be considered in such cases.
• Timely diagnosis and appropriate surgical techniques are vital to preserve fertility function.