Right Inguinal Hernia Containing Uterus and Bilateral Adnexa in a Female Infant

Abstract

Right inguinal hernia containing the uterus and bilateral adnexa in a female infant is very rare (0.3% of all famale inguinal hemia). In a girl aged 1 year and 1 month, right inguinal hernia was found at 1 month of age. We confirmed the hernia contents by a preoperative ultrasonic examination. However, from palpation immediately before the operation, we determined that we had to be extra careful during surgery. We performed the Potts method. As a mechanism of the occurrence of this disease, (1) when the appendage escapes, the uterus interlaminar membrane is pulled and the uterine contralateral ovary escapes. The other factors are as follows: (2) vulnerability of the anchoring ligament in the uterus and ovary, (3) excessive abdominal pressure, and (4) enlargement of the inner inguinal ring. As a cause of inguinal hernia, there are reports on conditions accompanying true hermaphrodism and a monocular uterus. Herniated contents should be confirmed accurately by direct visual observation, as in our patient, or laparoscopic observation.