Irreducible Inguinal Hernia Containing the Uterus and Adnexae in Two Infants

Abstract

Two cases of infants with irreducible inguinal hernia of the adnexa and uterus were reported, and their specific ultrasonic (US) findings described. In both infants, irreducible inguinal masses manifested at 12 and 7 weeks of age, respectively. In the first case, US showed characteristic findings consisting of an hypoechoic mass (ovarian echo) and a homogenous echogenic mass connected to the urinary bladder through the inguinal canal. At laparotomy, the uterus and adnexae were found in the inguinal sac. The second case was diagnosed preoperatively based on specific US findings. After reduction of the hernial contents (uterus and adnexae), simple herniorraphy was performed.