Abstract
Inguinal hernia is relatively common in children. Although inguinal hernia is not frequently encountered in girls in comparison to boys, there are occasional cases of uterine or ovarian herniation in female indirect inguinal hernia. Incarcerated ovary in hernia sac has the risk of torsion and strangulation. We present an 8-year-old girl with painful mass in her left groin. With computed tomography (CT) and ultrasonography (US), we made the diagnosis of ovarian strangulation within an incarcerated inguinal hernia. Since ultrasound is primarily used for evaluation of groin mass, CT findings of an incarcerated inguinal hernia is rarely reported.
Similar content being viewed by others
References
Huang CS, Luo CC, Chao HC, Chu SM, Yu YJ, Yen JB (2003) The presentation of asymptomatic palpable movable mass in female inguinal hernia. Eur J Pediatr 162:493–495
Choi KE, An SY, Kim KA, Ko SY, Lee YK, Shin SM, Han BH (2008) Characteristics and clinical course of ovarian hernias in infants. J Korean Soc Neonatol 15:80–83
Osifo OD, Ovueni ME (2009) Inguinal hernia in Nigerian female children: beware of ovary and fallopian tube as contents. Hernia 13(2):149–153
Boley SJ, Cahn D, Lauer L, Weinberg G, Kleinhaus S (1991) The irreducible ovary: a true emergency. J Pediatr Surg 26:1035–1038
Andrade K, Smith S, Goodarzian F (2014) An infant with an ectopic torsed testis in the abdominal wall. Emerg Radiol 21:223–225
Lourenco AP, Swenson D, Tubbs RJ, Lazarus E (2014) Ovarian and tubal torsion: imaging findings on US, CT, and MRI. Emerg Radiol 21(2):179–187
DeJohn LM, Choudhary AK, Boal DK (2010) Acute ovarian torsion in an infant: diagnostic clues on supine and decubitus abdominal radiographs confirmed by ultrasound. Emerg Radiol 17(4):335–338
Oltmann SC, Fischer A, Barber R, Huang R, Hicks B, Garcia N (2009) Cannot exclude torsion—a 15-year review. J Pediatr Surg 44(6):1212–1216
Goske MJ, Emmens RW, Rabinowitz R (1984) Inguinal ovaries in children demonstrated by high resolution real-time ultrasound. Radiology 151:635–636
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hyun, P.M., Jung, A.Y., Lee, Y. et al. CT and US findings of ovarian torsion within an incarcerated inguinal hernia. Emerg Radiol 22, 91–94 (2015). https://doi.org/10.1007/s10140-014-1248-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10140-014-1248-7