Laparoscopic Repair Useful for Incarcerated Sliding Hernia of the Ovary in a Young Woman—A Case Report—

Abstract

The patient was a 19-year-old woman. She had developed an inguinal swelling on the left associated with pain two years prior to this admission, but the symptoms had improved spontaneously. The symptoms recurred and the patient visited our department whith a history of pain for six days. Physical examination revealed a tender mass in the left inguinal region. Abdominal ultrasonography and computed tomography revealed an incarcerated inguinal hernia of the ovary. Manual reduction was difficult, and emergency laparoscopic radical hernia repair was performed. Intraoperative findings showed that the ovary was incarcerated in the left internal inguinal ring, so the peritoneum around the internal inguinal ring was dissected to relieve the incarceration. The patient was diagnosed with a sliding hernia of the ovary, the peritoneal incision was repaired, and the internal inguinal ring was sutured. Laparoscopic surgery can accurately diagnose, reduce, and repair the hernia orifice, and it is considered to be a useful and safe treatment, especially considering the fertility issues associated with sliding hernia of the ovary in adolescents and young women.