Abstract
Indirect inguinal hernia is the most common congenital anomaly in the pediatric age
group. About 15–20% of hernias in infant girls contain ovary, sometimes with a Fallopian
tube. The presence of the uterus incarcerated with the adnexa is a very unusual occurrence
in female infants with normal kariotype and phenotype, being commonly associated with
several disorders of sex development. The surgical repair of this form of hernia is
more difficult than a common herniorrhaphy because of the adhesions between the organs
and the wall of the sac and the risk of damage during their freeing. We present a
rare case of irreducible indirect inguinal hernia containing uterus and bilateral
adnexa (fallopian tubes and ovaries) in a premature female infant, discussing the
etiopathogenesis and the surgical features of this disorder.
Key words
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References
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Article info
Publication history
Accepted:
September 29,
2012
Received in revised form:
August 2,
2012
Received:
May 22,
2012
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.