Obstet Gynecol Sci.  2014 Nov;57(6):557-559. 10.5468/ogs.2014.57.6.557.

Laparoscopic repair of indirect inguinal hernia containing endometriosis, ovary, and fallopian tube in adult woman without genital anomalies

• Kim JH
• Chong GO
• Lee JY
• Lee YH
• Hong DG
• Park SY
• Park JY

• KMID: 2314028
• DOI: http://doi.org/10.5468/ogs.2014.57.6.557

Abstract

Indirect inguinal hernia containing an ovary is a rare condition, especially in adult women who do not have any other genital tract anomalies. In addition, inguinal hernia containing an ovary and endometriosis is exceedingly rare. In the present report, we describe a case of indirect inguinal hernia containing an ovary, fallopian tube, and endometriosis. Laparoscopic repair was performed successfully using polypropylene mesh for the treatment of the inguinal hernia.

Keyword

Endometriosis; Hernia, inguinal; Laparoscopic repair; Ovary

MeSH Terms

Adult*
Endometriosis*
Fallopian Tubes*
Female
Hernia, Inguinal*
Humans
Ovary*
Polypropylenes
Polypropylenes

Figure

• 

  Fig. 1 (A) Magnetic resonance imaging of the pelvis showing a 4×3 cm cystic structure in the left inguinal area (red arrowhead). (B) Laparoscopic view of herniation of the left ovary and a portion of the left fallopian tube in the inguinal canal. (C) Laparoscopic view of defect of the parietal peritoneum in the inguinal internal ring area. (D) Laparoscopic view of polypropylene mesh used to repair the hernia.

• 

  Fig. 2 Microscopic findings of the left inguinal ovary: endometrial glands with stromal cells and scattered hemosiderin-laden macrophages in fibroadipose tissue (H&E, ×40).

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