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Case Reports
. 2016 Aug 10:2016:bcr2016215920.
doi: 10.1136/bcr-2016-215920.

What is inside the hernia sac?

Ana Virgínia Araújo  1 , Cláudia Santos  1 , Helena Contente  1 , Cláudia Branco  1
Affiliations
Case Reports

What is inside the hernia sac?

Ana Virgínia Araújo et al. BMJ Case Rep. .

Erratum in

  • Erratum: What is inside the hernia sac?
    [No authors listed] [No authors listed] BMJ Case Rep. 2016 Sep 19;2016:bcr2016215920corr1. doi: 10.1136/bcr-2016-215920corr1. BMJ Case Rep. 2016. PMID: 27646319 Free PMC article. No abstract available.

Abstract

Most ovarian inguinal hernias occur in children and are frequently associated with congenital genitalia defects. The authors present the case of a multiparous 89-year-old woman, without any genitalia defect, who was brought to the emergency department with an irreducible inguinal hernia. The patient was proposed for emergency surgery during which we encountered an ovary and a fallopian tube inside the hernial sac. An oophorosalpingectomy and a Lichtenstein procedure were carried out and the postoperative period was uneventful. This case shows that, even though it is rare, a hernial sac may contain almost any intra-abdominal organ, including those least frequent such as the appendix, an ovary or the fallopian tubes.

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Figures

Figure 1
Figure 1
Pelvic ultrasound scan.
Figure 2
Figure 2
Transverse section of pelvic CT scan. White arrow showing a ‘fine-walled, non-pure cystic formation’, hernial sac.
Figure 3
Figure 3
Coronal section of pelvic CT scan. White arrow showing a ‘fine-walled, non-pure cystic formation’, hernial sac.
Figure 4
Figure 4
Left inguinal hernia (preoperatory).
Figure 5
Figure 5
Opening of the hernial sac.
Figure 6
Figure 6
Left ovary inside the inguinal hernial sac.
See this image and copyright information in PMC

References

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