title: Retroperitoneal displacement of ovary and fallopian tube: a complication of surgical management of incarcerated inguinal hernia in female infants.
abstract: Sliding indirect inguinal hernias containing the ipsilateral uterine adnexa are not uncommon in female infants. We report a case of a 12-year-old girl presenting with a benign tumor (serous cystadenofibroma) in a retroperitoneally located ovary. The patient had a history of hernia repair in the neonatal period. Displacement of the ovary and fallopian tube in the retroperitoneal space is a rarely reported complication of pediatric inguinal hernia surgery. Uncorrected, this can result in hormonal dysfunction, decreased fertility, and difficult and unclear situations during abdominal surgery in adulthood. A laparoscopic approach for hernia repair may prevent this complication.
authors.affiliation: Department of Gynecology and Obstetrics, University Hospital Basel, CH-4031 Basel, Switzerland. ugueth@uhbs.ch
authors.forename: Uwe
authors.initials: U
authors.lastname: Gueth
authors.forename: Regina
authors.initials: R
authors.lastname: Renner
authors.forename: Thomas
authors.initials: T
authors.lastname: Egelhof
authors.forename: Gad
authors.initials: G
authors.lastname: Singer
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Holzgreve
authors.forename: Johannes
authors.initials: J
authors.lastname: Mayr
mesh_terms: D002648:Child; D003287:Contrast Media; D003937:Diagnosis, Differential; D005187:Fallopian Tubes / Q000473:pathology*; D005260:Female; D006552:Hernia, Inguinal / Q000150:complications* / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D010053:Ovary / Q000473:pathology*
chemical_list: D003287:Contrast Media