Bilateral indirect ovarian inguinal hernia in a young female with type 1 Mayer-Rokitansky-Küster-Hauser syndrome: An extremely rare clinical context.

Autor: Bhatta S; Department of Anesthesia and Critical Care Nisarga Hospital and Research Center Pvt. Ltd Dhangadhi Nepal., Ojha H; Department of Anesthesia and Critical Care Nisarga Hospital and Research Center Pvt. Ltd Dhangadhi Nepal., Ansari MA; Department of General Surgery Nisarga Hospital and Research Center Pvt. Ltd Dhangadhi Nepal., Shrestha A; Department of Radiodiagnosis and Imaging Nisarga Hospital and Research Center Pvt. Ltd Dhangadhi Nepal.
Jazyk: angličtina
Zdroj: Clinical case reports [Clin Case Rep] 2024 Apr 05; Vol. 12 (4), pp. e8732. Date of Electronic Publication: 2024 Apr 05 (Print Publication: 2024).
DOI: 10.1002/ccr3.8732
Abstrakt: Key Clinical Message: Incidence of bilateral inguinal hernia encompassing bilateral ovaries in adult female is very thin and concomitant association with Mayer-Rokitansky-Küster-Hauser syndrome is out of ordinary. Along with surgical management of hernia, these females need multidisciplinary slant to manage gynecological, social, and emotional issues.
Abstract: In mature females, bilateral ovarian inguinal hernias are a rarity. In this situation, ultrasonography is the basic adjunct to confirm the diagnosis. Mayer-Rokitansky-Küster-Hauser syndrome is typically linked to ovarian hernias in grown-up females. The most important ways to avoid problems are early diagnosis and surgical repair. A 25-year-old lady presented to our outpatient clinic with a history of swelling in bilateral inguinal region for 1 month. On the ultrasound examination, the right ovary was visualized in the right high inguinal canal, and the left ovary was seen at the level of deep inguinal ring with no visualization of the uterus in its normal anatomical position. The patient underwent bilateral inguinal exploration under spinal anesthesia, and herniated contents were successfully reduced back to anatomical locations. Clinical care for such a clinical condition must be multifaceted, involving intensive counseling, relocating the uterus, fallopian tube, and ovary to preserve fertility, and preventing consequences like incarceration and strangulation.
Competing Interests: No conflict of interests.
(© 2024 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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