DOI: http://dx.doi.org/10.18203/2349-2902.isj20191293

Inguinal hernia with ovary as content- laparoscopic repair in a Mayer–Rokitansky–Küster–Hauser syndrome patient: case report

Washim F. Khan, Yashwant S. Rathore, Manjunath M. Pol, Gurpremjit Singh

Abstract


Inguinal hernia is a common surgical disease. Ovary and fallopian tube are not frequently found as content of the hernia. A 18 year old female, diagnosed case of Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome, presented with left sided reducible inguinal hernia for six months. Ultrasonography revealed absence of intra-abdominal left ovary and presence of ovary in the sac. She was planned for laparoscopic repair and total extra-peritoneal repair (TEP) was done. Ovary and adnexa may be content in groin hernia in females. Association of syndromes especially MRKH syndrome should be kept in mind in this group of patients. Laparoscopic total extra-peritoneal repair may be successfully attempted in this group of patients.


Keywords


Inguinal hernia, Content ovary, TEP, MRKH syndrome, Ovarian inguinal hernia

Full Text:

PDF

References


Kark AE, Kurzer M. Groin hernias in women. Hernia. 2008;12(3):267–70.

Gurer A, Ozdogan M, Ozlem N, Yildirim A, Kulacoglu H, Aydin R. Uncommon content in groin hernia sac. Hernia. 2006;10(2):152–5.

Karadeniz Cerit K, Ergelen R, Colak E, Dagli TE. Inguinal Hernia Containing Uterus, Fallopian Tube, and Ovary in a Premature Newborn. Case Rep Pediatr. 2015;2015:807309.

Wiley J, Chavez HA. Uterine adnexa in inguinal hernia in infant females: report of a case involving uterus; both uterine tubes and ovaries. West J Surg Obstet Gynecol. 1957;65(5):283–5.

Huang CS, Luo CC, Chao HC, Chu SM, Yu YJ, Yen JB. The presentation of asymptomatic palpable movable mass in female inguinal hernia. Eur J Pediatr. 2003;162(7–8):493–5.

Herlin M, Bjørn A-MB, Rasmussen M, Trolle B, Petersen MB. Prevalence and patient characteristics of Mayer-Rokitansky-Küster-Hauser syndrome: a nationwide registry-based study. Hum Reprod. 2016;31(10):2384–90.

Mohanty HS, Shirodkar K, Patil AR, Rojed N, Mallarajapatna G, Nandikoor S. A rare case of adult ovarian hernia in MRKH syndrome. BJR Case Rep. 2017;3(3):20160080.

Okada T, Sasaki S, Honda S, Miyagi H, Minato M, Todo S. Irreducible indirect inguinal hernia containing uterus, ovaries, and Fallopian tubes. Hernia. 2012;16(4):471–3.

Ozkan OV, Semerci E, Aslan E, Ozkan S, Dolapcioglu K, Besirov E. A right sliding indirect inguinal hernia containing paraovarian cyst, fallopian tube, and ovary: a case report. Arch Gynecol Obstet. 2009;279(6):897–9.

Ozbey H, Ratschek M, Schimpl G, Höllwarth ME. Ovary in hernia sac: prolapsed or a descended gonad? J Pediatr Surg. 1999;34(6):977–80.

Manjunath BG, Shenoy VG, Raj P. Persistent müllerian duct syndrome: How to deal with the müllerian duct remnants - a review. Indian J Surg. 2010;72(1):16–9.

Ballas K, Kontoulis T, Skouras C, Triantafyllou A, Symeonidis N, Pavlidis T, et al. Unusual findings in inguinal hernia surgery: Report of 6 rare cases. Hippokratia. 2009;13(3):169–71.

Merriman TE, Auldist AW. Ovarian torsion in inguinal hernias. Pediatr Surg Int. 2000;16(5–6):383–5.

Kim JH, Chong GO, Lee JY, Lee YH, Hong DG, Park SY, et al. Laparoscopic repair of indirect inguinal hernia containing endometriosis, ovary, and fallopian tube in adult woman without genital anomalies. Obstet Gynecol Sci. 2014;57(6):557–9.

Park YH, Jung EJ, Byun JM, An MS, Kim YN, Lee KB, et al. Laparoscopic total extraperitoneal hernia repair of fallopian tube indirect inguinal hernia in reproductive aged woman: a case report. Obstet Gynecol Sci. 2017;60(6):608–11.