Ex 34 week premature infant with chylothorax post cardiac surgery. Presents to Medical Imaging Department for investigation of right inguinal lump.
Right groin ultrasound study
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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.
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.
- H. Artas, N. Gurbuzer. Inguinal hernia containing both ovaries and the uterus in an infant J Ultrasound Med, 31 (2012), pp. 1137–1139
- Toshiko T., et al. A female infant with an inguinal hernia containing the uterus and bilateral ovaries Journal of Pediatric Surgery Case Reports Volume 3, Issue 2, February 2015, Pages 46–4