Obstet Gynecol Sci.  2017 Nov;60(6):608-611. 10.5468/ogs.2017.60.6.608.

Laparoscopic total extraperitoneal hernia repair of fallopian tube indirect inguinal hernia in reproductive aged woman: a case report

• Park YH
• Jung EJ
• Byun JM
• An MS
• Kim YN
• Lee KB
• Sung MS
• Kim KT
• Kim ET
• Jeong CH
• Jeong DH

• KMID: 2418365
• DOI: http://doi.org/10.5468/ogs.2017.60.6.608

Abstract

An indirect inguinal hernia containing the fallopian tube alone is extremely rare in reproductive-aged women without any genital tract anomalies. Despite this rarity, early diagnosis and adequate management is important to prevent strangulation and recurrence. We present a case of an indirect inguinal hernia containing only the fallopian tube in the hernia sac, which was successfully reduced by using a laparoscopic total extraperitoneal approach and repaired with a polypropylene mesh.

Keyword

Hernia, inguinal; Fallopian tubes; Laparoscopy

MeSH Terms

Early Diagnosis
Fallopian Tubes*
Female
Hernia*
Hernia, Inguinal*
Herniorrhaphy*
Humans
Laparoscopy
Polypropylenes
Recurrence
Polypropylenes

Figure

• 

  Fig. 1 (A) Ultrasonographic image showing the left hydrosalpinx in the hernia sac. (B) Computed tomography image of the pelvis showing a 6×4 cm cystic structure in the inguinal area (white arrow). (C) Laparoscopic view of herniation of the left fallopian tube in the inguinal canal. (D) Laparoscopic view of the polypropylene mesh used to repair the hernia using the total extraperitoneal hernia repair method. (E) Laparoscopic view of the repaired partial defect of peritoneum in the inguinal internal ring area. (F) Laparoscopic view of the left fallopian tube after reduction. Operative findings showed no ischemic changes and no anatomical abnormalities.

Reference

1. Graul A, Ko E. Indirect inguinal hernia containing a fallopian tube and ovary in a reproductive aged woman. Case Rep Obstet Gynecol. 2014; 2014:437340.

2. Gurer A, Ozdogan M, Ozlem N, Yildirim A, Kulacoglu H, Aydin R. Uncommon content in groin hernia sac. Hernia. 2006; 10:152–155.

3. Ozkan OV, Semerci E, Aslan E, Ozkan S, Dolapcioglu K, Besirov E. A right sliding indirect inguinal hernia containing paraovarian cyst, fallopian tube, and ovary: a case report. Arch Gynecol Obstet. 2009; 279:897–899.

4. Manjunath BG, Shenoy VG, Raj P. Persistent müllerian duct syndrome: how to deal with the müllerian duct remnants - a review. Indian J Surg. 2010; 72:16–19.

5. Kim JH, Chong GO, Lee JY, Lee YH, Hong DG, Park SY, et al. Laparoscopic repair of indirect inguinal hernia containing endometriosis, ovary, and fallopian tube in adult woman without genital anomalies. Obstet Gynecol Sci. 2014; 57:557–559.

6. Song EJ, Hong SN, Woo YJ, Ji BJ, Park KD. Inguinal hernia of ovary and fallopian tube in adult woman. Korean J Obstet Gynecol. 2006; 49:2018–2022.

7. Golash V, Cummins RS. Ovulating ovary in an inguinal hemia. Surgeon. 2005; 3:48.

8. National Institute for Clinical Excellence (GB). Laparoscopic surgery for inguinal hernia repair. London: National Institute for Clinical Excellence;2005.