An Endometrioid Ovary Cyst and Fallopian Tube in the Inguinal Canal: Conservative or Surgical Management?

The presence of an ovary in the inguinal canal, presenting as an inguinal hernia is an extremely rare condition in premenaposal women. We present a case, which was managed expectantly before but needed surgery thereafter. A 31 year old woman who had 2 cesarean sections before presented with a painf...

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Main Authors: Sema Ovalı, Ahmet Yılmaz, Gürkan Zorlu
Format: Article
Language:English
Published: Medical Network 2016-02-01
Series:Gynecology Obstetrics & Reproductive Medicine
Subjects:
Online Access:http://gorm.com.tr/index.php/GORM/article/view/45
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author Sema Ovalı
Ahmet Yılmaz
Gürkan Zorlu
author_facet Sema Ovalı
Ahmet Yılmaz
Gürkan Zorlu
author_sort Sema Ovalı
collection DOAJ
description The presence of an ovary in the inguinal canal, presenting as an inguinal hernia is an extremely rare condition in premenaposal women. We present a case, which was managed expectantly before but needed surgery thereafter. A 31 year old woman who had 2 cesarean sections before presented with a painful and red mass in the left inguinal canal. Absence of the left ovary had been noted during previous cesarean sections and she had two attacks of pelvic inflammatory disease. She could not get pregnant through natural route and ovulation induction treatment was initiated upon which a left inguinal mass appeared. A previous attempt to aspirate the mass had been unsuccessful. Ultrasonographic diagnosis was hemorrhagic ovary cyst and abcess. Laparoscopic right salpingectomy was performed due to right hydrosalphyx and left inguinal hemorrhagic mass was excised surgically. Pathological examination confirmed that the mass was an ovary. Most of the cases of hernia containing ovary and other genital organs are found in children, but they may be seen in premenaposal or menaposal women also. Some of them are diagnosed before the operation but most of them are diagnosed during or after the operation. Asymptomatic cases may be managed expectantly but in symptomatic patients, surgical removal is indicated.
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spelling doaj.art-dab3672de585421c90acf3e3ccc977662023-02-15T16:18:22ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512016-02-0121140An Endometrioid Ovary Cyst and Fallopian Tube in the Inguinal Canal: Conservative or Surgical Management?Sema Ovalı0Ahmet Yılmaz1Gürkan Zorlu2İstanbul Medipol University Hospital Department of Obstetrics and Gynecology and General Surgery, İstanbulİstanbul Medipol University Hospital Department of Obstetrics and Gynecology and General Surgery, İstanbulİstanbul Medipol University Hospital Department of Obstetrics and Gynecology and General Surgery, İstanbulThe presence of an ovary in the inguinal canal, presenting as an inguinal hernia is an extremely rare condition in premenaposal women. We present a case, which was managed expectantly before but needed surgery thereafter. A 31 year old woman who had 2 cesarean sections before presented with a painful and red mass in the left inguinal canal. Absence of the left ovary had been noted during previous cesarean sections and she had two attacks of pelvic inflammatory disease. She could not get pregnant through natural route and ovulation induction treatment was initiated upon which a left inguinal mass appeared. A previous attempt to aspirate the mass had been unsuccessful. Ultrasonographic diagnosis was hemorrhagic ovary cyst and abcess. Laparoscopic right salpingectomy was performed due to right hydrosalphyx and left inguinal hemorrhagic mass was excised surgically. Pathological examination confirmed that the mass was an ovary. Most of the cases of hernia containing ovary and other genital organs are found in children, but they may be seen in premenaposal or menaposal women also. Some of them are diagnosed before the operation but most of them are diagnosed during or after the operation. Asymptomatic cases may be managed expectantly but in symptomatic patients, surgical removal is indicated.http://gorm.com.tr/index.php/GORM/article/view/45Inguinal hernia, Ovarian cyst, Laparoscopy, Hemorrhagic mass
spellingShingle Sema Ovalı
Ahmet Yılmaz
Gürkan Zorlu
An Endometrioid Ovary Cyst and Fallopian Tube in the Inguinal Canal: Conservative or Surgical Management?
Gynecology Obstetrics & Reproductive Medicine
Inguinal hernia, Ovarian cyst, Laparoscopy, Hemorrhagic mass
title An Endometrioid Ovary Cyst and Fallopian Tube in the Inguinal Canal: Conservative or Surgical Management?
title_full An Endometrioid Ovary Cyst and Fallopian Tube in the Inguinal Canal: Conservative or Surgical Management?
title_fullStr An Endometrioid Ovary Cyst and Fallopian Tube in the Inguinal Canal: Conservative or Surgical Management?
title_full_unstemmed An Endometrioid Ovary Cyst and Fallopian Tube in the Inguinal Canal: Conservative or Surgical Management?
title_short An Endometrioid Ovary Cyst and Fallopian Tube in the Inguinal Canal: Conservative or Surgical Management?
title_sort endometrioid ovary cyst and fallopian tube in the inguinal canal conservative or surgical management
topic Inguinal hernia, Ovarian cyst, Laparoscopy, Hemorrhagic mass
url http://gorm.com.tr/index.php/GORM/article/view/45
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