Ovarian Inguinal Hernia in 1-Month-Old Girl with Horseshoe Kidney

Abstract

Herniation of the ovaries is a rare congenital anomaly that may be complicated by strangulation, torsion, and infertility. Female pelvic structures such as the ovaries, fallopian tubes, ligaments, and uterus can rarely enter a hernial sac. The aim of this review was to emphasize the fact that early intervention can save the ovary from complications and infertility. A systematic search was conducted of literature published up to 2013 using the Google ScholarTM databases, along with the references of the full-text articles retrieved. Papers on observational studies and case reports concerning ovaries in the inguinal canal were considered eligible for inclusion in the review. Seventeen papers, comprising 24 patients (mean age 45.5), were evaluated. A left-sided hernia was noted in 18 cases (75%), whereas 4 patients had a right-sided hernia (25%). This case is unique in its existence because of the age of presentation (one month) and the complications of horseshoe kidney. Ovarian inguinal hernias can present as early as day one of birth. A thorough history and examination, followed by investigations, can lead to prompt and adequate treatment. In women of reproductive age, repair of the hernia with the intent to preserve fertility is of critical importance.