Left inguinal region and ovary:
- herniated left ovary through internal inguinal ring, which is mildly enlarged with preserved arterial and venous flow, showing average velocities, however there is thickened left ovarian pedicle and high resistive waveform of the ovarian arteries which is suggestive of partial torsion. No ischemic changes are noted regarding parenchymal echopattern or ovarian edematous changes. (Note that the Doppler sampling is perpendicular to the ovarian pedicle which is incorrect, repeated sampling, not saved, shows decreased or absent diastolic flow)
- no other herniated contents
- few small reactive inguinal lymph nodes
Right inguinal region:
- small collapsed hernial sac is noted, extending at the proximal right canal of Nuck
- no hernial contents noted on cring and on standing position
- few small reactive lymph ndoes are noted
Right ovary:
- is located at right iliac fossa and of average size
- no evidence of torsion, cysts or masses with normal pedicle.
Opinion
- left canal of Nuck hernia, transmitting the left ovary, with partial torsion
- small right hernial sac with no identified herniated contents