Ex 34 weeks premature infant with chylothorax post cardiac surgery. Presents to the Medical Imaging Department for investigation of a right inguinal lump.
Right groin ultrasound study
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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.
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.
- Toshiko T. female infant with an inguinal hernia containing the uterus and bilateral ovaries. (2012) Journal of Pediatric Surgery Case Reports. Volume 3, Issue 2, February 2015, Pages 46-47. doi.org/10.1016/j.epsc.2014.11.021 - ScienceDirect
- Artas H, Gurbuzer N. Inguinal hernia containing both ovaries and the uterus in an infant. (2012) Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine. 31 (7): 1138-9. doi:10.7863/jum.2012.31.7.1138 - Pubmed