Inguinal ovarian hernia

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

Left inguinal reducible swelling became non-reducible for last 30 hrs.

Patient Data

Age: 11 months
Gender: Female
ultrasound

The left ovary is in the left inguinal canal. Hernia passes superficial to inferior epigastric vessels. Left ovary is possibly larger than normal for age.

Intra-ovarian flow could not be properly evaluated due to excessive crying by child. However, there is a possible grayscale 'whirl' at hernia site.

Case Discussion

11 months of girl child presents with non-reducible left inguinal swelling. Ultrasound shows an ovary in the hernia with possible gray scale 'whirl-pool sign'.  

Surgery was done on same day revealing gangrenous herniated ovary.

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