Emerg Radiol DOI 10.1007/s10140-014-1248-7
CASE REPORT
CT and US findings of ovarian torsion within an incarcerated inguinal hernia Park Mee Hyun & Ah Young Jung & Yul Lee & Ik Yang & Dae Hyun Yang & Ji-Young Hwang
Received: 7 April 2014 / Accepted: 29 May 2014 # American Society of Emergency Radiology 2014
Abstract Inguinal hernia is relatively common in children. Although inguinal hernia is not frequently encountered in girls in comparison to boys, there are occasional cases of uterine or ovarian herniation in female indirect inguinal hernia. Incarcerated ovary in hernia sac has the risk of torsion and strangulation. We present an 8-year-old girl with painful mass in her left groin. With computed tomography (CT) and ultrasonography (US), we made the diagnosis of ovarian strangulation within an incarcerated inguinal hernia. Since ultrasound is primarily used for evaluation of groin mass, CT findings of an incarcerated inguinal hernia is rarely reported.
the inguinal canal. Normally, this undergoes obliteration soon after birth. If it remains completely patent, an indirect inguinal hernia is developed and partial proximal obliteration with a patent distal portion causes a cyst of the canal of Nuck in women. The diagnosis of torsion of herniated ovary should be made promptly before the necrosis of the ovary to protect this vital reproductive organ. We present an 8-year-old girl with an incarcerated ovarian inguinal hernia in which both computed tomography (CT) and ultrasound was performed.
Case report Keywords Inguinal hernia . Ovary . Torsion . Ultrasonography . Computed tomography
Introduction Inguinal hernia is relatively common in children with a range between 0.8 and 4.4 %, and it is more common in boys and infants [1]. Approximately 13.7–23 % of indirect inguinal hernia occurs in girls [2]. The incidence of ovarian content in female indirect inguinal hernia has been reported to be about 15–31 %, up to 82 % [2, 3]. Symptoms can be just painless, reducible mass at inguinal area, or edematous mass with significant redness and pain when incarcerated. The processus vaginalis is an embryonic developmental outpouching of the peritoneum that passes into P. M. Hyun : Y. Lee : I. Yang : D. H. Yang : J.
CASE REPORT
CT and US findings of ovarian torsion within an incarcerated inguinal hernia Park Mee Hyun & Ah Young Jung & Yul Lee & Ik Yang & Dae Hyun Yang & Ji-Young Hwang
Received: 7 April 2014 / Accepted: 29 May 2014 # American Society of Emergency Radiology 2014
Abstract Inguinal hernia is relatively common in children. Although inguinal hernia is not frequently encountered in girls in comparison to boys, there are occasional cases of uterine or ovarian herniation in female indirect inguinal hernia. Incarcerated ovary in hernia sac has the risk of torsion and strangulation. We present an 8-year-old girl with painful mass in her left groin. With computed tomography (CT) and ultrasonography (US), we made the diagnosis of ovarian strangulation within an incarcerated inguinal hernia. Since ultrasound is primarily used for evaluation of groin mass, CT findings of an incarcerated inguinal hernia is rarely reported.
the inguinal canal. Normally, this undergoes obliteration soon after birth. If it remains completely patent, an indirect inguinal hernia is developed and partial proximal obliteration with a patent distal portion causes a cyst of the canal of Nuck in women. The diagnosis of torsion of herniated ovary should be made promptly before the necrosis of the ovary to protect this vital reproductive organ. We present an 8-year-old girl with an incarcerated ovarian inguinal hernia in which both computed tomography (CT) and ultrasound was performed.
Case report Keywords Inguinal hernia . Ovary . Torsion . Ultrasonography . Computed tomography
Introduction Inguinal hernia is relatively common in children with a range between 0.8 and 4.4 %, and it is more common in boys and infants [1]. Approximately 13.7–23 % of indirect inguinal hernia occurs in girls [2]. The incidence of ovarian content in female indirect inguinal hernia has been reported to be about 15–31 %, up to 82 % [2, 3]. Symptoms can be just painless, reducible mass at inguinal area, or edematous mass with significant redness and pain when incarcerated. The processus vaginalis is an embryonic developmental outpouching of the peritoneum that passes into P. M. Hyun : Y. Lee : I. Yang : D. H. Yang : J.
