Inguinal hernia

Case contributed by Dr Timothy Cain

Presentation

Ex 34 weeks premature infant with chylothorax post cardiac surgery. Presents to the Medical Imaging Department for investigation of a right inguinal lump.

Patient Data

Age: 7 weeks
Gender: Female

Right groin ultrasound study

Ultrasound

Longitudinal view of the right inguinal canal shows the uterus and right ovary in the inguinal canal with some peritoneal fluid. The transverse view demonstrates the left ovary to be displaced to the right side of the pelvis close to the internal ring of the right inguinal canal.

Case Discussion

Inguinal hernias are not uncommon in neonates and herniation of ovary is a recognized differential of the hernia sac contents. It is uncommon to have herniation of the uterus and ovary but the typical appearance makes it a very recognisable spot diagnosis on ultrasound imaging. The clinician suspected the hernia contained ovary by clinical examination in this patient.

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