Sliding hernia uterus inguinale in a child

Abstract

Uterine adnexa may be the content of the inguinal hernial sac in up to one-fifth of the pediatric female patients. Inguinal hernia containing uterus is known as “hernia uterus inguinale” which is a very rare condition. We report sliding inguinal hernia containing uterus and uterine adnexa in a 2-year-old girl who presented with 3.5 cm × 2.5 cm, partially reducible swelling in the left inguinal region extending to the upper part of the left labia majora. Uterus and ipsilateral fallopian tube with ovary were meticulously dissected from the hernial sac till the margins were free for closure of the sac. The contents were reduced en mass, and high ligation of the hernial sac with plication of deep ring was performed. Close follow-up and gynecological evaluation during the childbearing age are recommended.

Keywords

• Child
• inguinal hernia
• ovary
• sliding
• uterus