Retroperitoneal displacement of ovary and fallopian tube: a complication of surgical management of incarcerated inguinal hernia in female infants.
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.
Gueth
Uwe
U
Department of Gynecology and Obstetrics, University Hospital Basel, CH-4031 Basel, Switzerland. ugueth@uhbs.ch
Renner
Regina
R
Egelhof
Thomas
T
Singer
Gad
G
Holzgreve
Wolfgang
W
Mayr
Johannes
J
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*
D003287:Contrast Media