AN UNUSUAL CASE OF OVARY AND FALLOPIAN TUBE IN INGUINAL HERNIA. Kasık fıtığı içerisine girmiş bir Over ve Fallop tüpleri olgusu.
2014
ABSTRACT Inguinal hernia is extremely rare among girls. The hernia sac may sometimes involve intestinal structures, but ovaries in the sac are uncommon. Early diagnosis and surgery is essential to obviate the possibility of ovarian torsion. We encountered a 13 year old girl with a nonreducible groin lump that had no expansile cough impulse. An index of suspicion followed by imaging and diagnostic laparoscopy clinched the diagnosis of hernia ovary inguinale that was confirmed on exploration followed by replacement of the ovary into the pelvis. Though there might not be the usual criteria of reducibility and expansile cough impulse of hernia, we should be wary of this rare presentation especially in a young girl as it is exposed to the risk of torsion that we can prevent by early surgery. OZET Kadinlarda kasik fitigi oldukca az gorulen bir durumdur. Fitik kesesi icerisinde barsaklarin olmasi olagan bir durum olmakla beraber nadiren de overler olabilir. Over torsiyonunun onlenmesi icin erken tani konulmasi onemlidir. Burada 13 yasindaki bir kiz cocugunda karsilastigimiz, oksurukle buyumeyen ve redukte edilemeyen kasikta sislik vakasi anlatilmistir. Hastaya yapilan laparoskopi ile tani dogrulanarak over karin icerisine redukte edildi. Kasikta sisligin oksurukle buyumemesi ve redukte olmamasi fitik olmadigi anlamina gelmemektedir. Bu tur vakalarda kasik fitiginin akla getirilmesi olasi komplikasyonlarin onlenmesine katkida bulunacaktir.
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