Left Ovary-Containing Hernia of the Canal of Nuck and Right Inguinal Hernia with Small Bowel Loops in a 12-Day-Old Newborn Girl: A Rarity

摘要

A 12-day-old newborn girl was brought to the Department of Neonatology of our hospital for persisting right inguinal swelling which developed on postnatal day 1 and new appearance of left inguinal swelling on postnatal day 11. Ultrasonographic evaluation of the bilateral groins was done which revealed an echogenic ovoid, solid mass containing cysts in the left inguinal region which is noted to extend to the abdominal cavity through the canal of nuck [Figure 1], The small cysts are the follicles in the normal ovary. On color Doppler ultrasonography, blood flow was seen in the mass, confirming the presence of ovary as content. Similar mass was visualized in the right inguinal region which contained small bowel loops [Figure 2]. A diagnosis of left ovary-containing inguinal hernia of the canal of nuck and right small bowel loops-containing inguinal hernia was given. The left inguinal mass was movable and further showed color signal pickup on Doppler ultrasonography, thus confirming the viability of the ovary. Similarly, small bowel loops-containing right inguinal hernia was reducible and showed no signs of incarceration.