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Obstructed inguinal hernia containing female reproductive organ: A rare presentation
摘要
Introduction: Inguinal hernia is a common surgical problem; usually the bowel and omentum herniate through the defect. Herniation of the female reproductive organs is extremely rare. The aim of this study is to report a case of obstructed inguinal hernia with herniation of ovary and uterine tube. Case Report: A 14-year-old girl with a history of reducible left inguinal hernia was admitted to the emergency room. She had tender irreducible swelling of left groin associated with nausea for two days. On examination there was irreducible tender left inguinal swelling. Ultrasound examination proved the diagnosis as irreducible left inguinal hernia containing left ovary with complex cystic content. Under general anesthesia, exploration of the left inguinal canal was done. The sac was opened; both ovary and fallopian tube were viable. The ovarian cyst was excised and the sac closed then reduced to the abdominal cavity. Round ligament was preserved and the posterior wall was reinforced by darning procedure. Conclusion: Inguinal hernia with ovarian and uterine tube herniation is a very rare disease. Management is by surgery with careful reduction of the content.