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CASE REPORT
Year : 2016  |  Volume : 4  |  Issue : 2  |  Page : 84-86

Hernia uterine inguinale


Department of Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India

Correspondence Address:
Sonu Sharma
Flat-302, Aster-3, Sukhwani Housing Society, Pimpri, Pune - 411 018, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2320-3846.183701

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Inguinal hernia is relatively uncommon in females as compared to males. The incidence of inguinal hernia in females is 1.9%, the ratio of males to females being 6:1. Primary inguinal hernia occurs in 1-5% of all newborn and 9-11% of those born prematurely. Herniation of the contents through the canal of Nuck is a very rare condition. Approximately, 15-20% contain ovary, sometimes with a fallopian tube. A 1.5-month-old prematurely born female child presented with swelling in the left inguinal region since birth. A 3 cm × 2 cm solitary swelling was visible in the left inguinal region on crying, soft in consistency and reducible. A 2 cm × 1 cm swelling was also seen in umbilical region, soft in consistency and reducible. Ultrasonography - patent canal of Nuck with herniating ovary and part of uterus. The patient was subjected for surgery, content of an inguinal hernia was found to be uterus, with right fallopian tube and right ovary. Contents were reduced. Sac was transfixed and excised. When uterus and uterine adnexa are found in inguinal hernia sac, it is called as hernia uterine inguinale, or uterus-containing hernia. The anterior invagination of parietal peritoneum in females, which is canal of Nuck, is much smaller than the processus vaginalis its male counterpart. The canal of Nuck is often open in premature infants, which can lead to herniation of peritoneal contents such as bowel or the ovary, the fallopian tube, and the uterus. Our patient was a prematurely born infant. The hernial sac containing fallopian tube, ovary, and uterus in the female is very rare. We present a case of female inguinal hernia containing ovaries as well as uterus. The surgical dilemma occurs due to such rare condition at the time of hernia repair and should always be considered.


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