Presentation
A palpable, non-tender, non-mobile lump in the left groin of a 10-week old girl
Patient Data
Left groin hernia shows bowel loops within. They appear to be reducible.
Oval structure with cysts inside noted in the hernia sac, likely a herniated ovary.
The uterus is seen in the pelvis.
No free fluid in the hernia sac. No dilated bowel loops noted.
Case Discussion
A 10-week old girl presented via the emergency department with a firm, non-mobile, non-tender lump in the left groin, roughly 1.5cm in size.
Ultrasound showed reducible bowel and ovary within the hernia sac.
She was transferred to a tertiary center under pediatric surgery. Surgery revealed an indirect hernia with the ovary and fallopian tubes adherent to the sac. This was reduced and the defect repaired.
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