Clinical analysis of ovarian hernia: report of 1 case / 中国实用妇科与产科杂志

ABSTRACT

OBJECTIVE: To explore the clinical characteristics,diagnosis,treatment,and prognosis of ovarian hernia.METHODS: The clinical data of 1 case of ovarian hernia admitted to Affiliated Shengjing Hospital,China Medical University,from 2018-07-18 were analyzed,and the related literatures at home and abroad were analyzed and summarized.RESULTS: The patient was 30 years old and visited hospital with the chief complaints of“1 d of vulva pain after assisted reproduction with 4 h of aggravation”.Ultrasonography showed that a 5.2 cm×3.6 cm×3.5 cm mass was seen in the left pubic mound,which was considered to be the vulva neoplasm. The pain was not significantly alleviated after the vaginal mass puncture treatment in the assisted reproductive department.MRI examination suggested ovarian hernia.High ligation repair of inguinal hernia and ovary repair were performed in emergency. Ovaries were successfully retained during the operation.A total of 6 cases have been reported by searching relevant literatures at home and abroad. The disease is often manifested as conscious inguinal mass,lower abdominal pain or asymptomatic.The treatment method is mainly surgery.For young women,early diagnosis and treatment should be made as soon as possible to preserve the ovary.CONCLUSION: Early diagnosis and treatment based on clinical symptoms is recommended to avoid misdiagnosis for young women with reproductive function.A multimodal and multidisciplinary approach is recommended to safely and effectively preserve ovarian function.