Canal of Nuck Hernia in a Female Infant Containing Uterus, Bilateral Adnexa and Bowel

Year 2016, Volume: 33 Issue: 5, 566 - 568, 01.09.2016

Betül Emine Derinkuyu Mohammad Reza Affrancheh Didem Sönmez Meltem Bingöl Koloğlu Suat Fitoz

https://izlik.org/JA84MP55TY

Abstract

Background: The canal of Nuck is a fold of peritoneum
that invaginates into the inguinal canal and closes at
or just before birth. If the canal of Nuck remains open in
female infants, herniation of the uterus, adnexa and/or
bowel loops may arise through the inguinal canal into
the labia majora.
Case Report: The present case is a 12-week-old female
infant with complaints of left groin swelling and discomfort.
Ultrasonographic examination revealed a left
inguinal hernia containing both adnexa (ovaries and fallopian
tubes), uterus and small bowel loops with fluid.
Conclusion: A hernia containing ovary and uterus
should be considered as a possible cause in a female infant
with a groin mass. Ultrasonography of the inguinal
mass lesions should be performed routinely in a female
infant for accurate diagnosis.

Keywords

Hernia , infant , canal of Nuck , ovary , uterus

References

• 1. Kapur P, Caty MG, Glick PL. Pediatric hernias and hydroceles. Pediatr Clin North Am 1998;45:773-89. [CrossRef]
• 2. Manoharan S, Samarakkody U, Kulkarni M, Blakelock R, Brown S. Evidence-based change of practice in the manegement of unilateral inguinal hernia. J Pediatr Surg 2005;40:1163-6. [CrossRef]
• 3. George EK, Oudesluys-Murphy AM, Madern GC, Cleyndert P, Blomjous JG. Inguinal hernias containing the uterus, fallopian tube, and ovary in premature female infants. J Pediatr 2000;136:696-8. [CrossRef]
• 4. Shadbolt CL, Heinze SB, Dietrich RB. Imaging of groin masses: inguinal anatomy and pathologic conditions revisited. Radiographics 2001;21:261-71. [CrossRef]
• 5. Laing FC, Townsend BA, Rodriguez R. Ovary-containing hernia in a premature infant: Sonographic diagnosis. J Ultrasound Med 2007;26:985-7.
• 6. Okada T, Sasaki S, Honda S, Miyagi H, Minato M, Todo S. Irreducible indirect inguinal hernia containing uterus, ovaries, and Fallopian tubes. Hernia 2012;16:471-3. [CrossRef]
• 7. Goske MJ, Emmens RW, Rabinowitz R. Inguinal ovaries in children demonstrated by high resolution real-time ultrasound. Radiology 1984;151:635-6. [CrossRef]
• 8. Boley SJ, Cahn D, Lauer L, Weinberg G, Kleinhaus S. The irreducible ovary: a true emergency. J Pediatr Surg 1991;26:1035-8. [CrossRef]
• 9. Cascini V, Lisi G, Di Renzo D, Pappalepore N, Lelli Chiesa P. Irreducible indirect inguinal hernia containing uterus and bilateral adnexa in a premature female infant: report of an exceptional case and review of the literature. J Pediatr Surg 2013;48:17-9. [CrossRef]
• 10. Ming YC, Luo CC, Chao HC, Chu SM. Inguinal hernia containing uterus and uterine adnexa in female infants: report of two cases. Pediatr Neonatol 2011;52:103-5. [CrossRef]