Inguinal hernia

Case contributed by Dr Timothy Cain

Presentation

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

Patient Data

Age: 7 weeks
Gender: Female
Ultrasound

Right groin ultrasound study

The uterus and right ovary can be seen within the right inguinal canal, surrounded by fluid associated with the patient's underlying medical condition. Doppler imaging (not shown) demonstrated normal blood flow in both ovaries.

Case Discussion

Inguinal hernias are not uncommon in neonates and herniation of ovary is a recognised 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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Case information

rID: 39977
Case created: 30th Sep 2015
Last edited: 4th Nov 2015
System: Paediatrics
Inclusion in quiz mode: Included

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