2016 Volume 52 Issue 5 Pages 1047-1050
Female indirect inguinal hernia containing the bilateral adnexa and uterus is very rare, and 16 cases including our case were reported in the past. Thirteen out of the 16 cases were left hernia. We present the case of a female infant with irreducible right inguinal hernia containing the uterus and bilateral adnexa. She was born in the 31st week of gestation with a birth weight of 1,147 g and right inguinal hernia was found at 5 days of age. Ultrasonography showed right inguinal hernia containing the uterus and an ovary. A herniorrhaphy was performed at 1 month of age and the uterus and bilateral adnexa were found in the right hernial sac. The postoperative course was uneventful. Although every case reported previously developed in early infancy, it is suggested that one of the etiologies of this disease is the unfixed uterus and adnexa to the pelvis. Ultrasound examination is effective for detecting the contents of the hernia in this disease but it is actually difficult to show all the prolapsing organs in the hernial sac. Therefore, surgeons should be careful in surveying what organs prolapsed in the hernial sac during surgery.
