Laparoscopic excision of a large ovarian cyst herniating into the inguinal canal: A rare presentation

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Inguinal hernia repair is one of the most common operation in surgical practice. Despite its common occurrence, hernia often poses a surgical dilemma even for a skilled surgeon. The unexpected hernial content constitutes one of these cases. Although the often-reported, unusual contents of a hernia sac include ovary, fallopian tube, vermiform appendix, Meckel diverticulum, and urinary bladder, the herniation of a large ovarian cyst into the inguinal canal has been hardly reported. Majority of the ovarian cysts are asymptomatic or present with vague lower abdominal pain, whereas the presentation of a large ovarian cyst as an inguinolabial swelling as in our patient is extremely rare. We present here one of the few reported cases of a laparoscopic excision of a large ovarian cyst herniating into the inguinal canal and discuss the pathogenesis of an ovarian cyst as hernial content, the advantages and concerns of a laparoscopic approach in resecting large ovarian cysts, and simultaneous management of the inguinal hernia.

Original languageEnglish
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume21
Issue number4
DOIs
Publication statusPublished - Aug 2011

Fingerprint

Inguinal Canal
Ovarian Cysts
Inguinal Hernia
Hernia
Meckel Diverticulum
Fallopian Tubes
Herniorrhaphy
Appendix
Abdominal Pain
Ovary
Urinary Bladder

Keywords

  • composite mesh
  • hernioplasty
  • inguinal hernia
  • laparoscopic excision
  • ovarian cyst
  • unusual hernial content

ASJC Scopus subject areas

  • Surgery

Cite this

@article{eda9706964ee4bcc89df03f967aa43cf,
title = "Laparoscopic excision of a large ovarian cyst herniating into the inguinal canal: A rare presentation",
abstract = "Inguinal hernia repair is one of the most common operation in surgical practice. Despite its common occurrence, hernia often poses a surgical dilemma even for a skilled surgeon. The unexpected hernial content constitutes one of these cases. Although the often-reported, unusual contents of a hernia sac include ovary, fallopian tube, vermiform appendix, Meckel diverticulum, and urinary bladder, the herniation of a large ovarian cyst into the inguinal canal has been hardly reported. Majority of the ovarian cysts are asymptomatic or present with vague lower abdominal pain, whereas the presentation of a large ovarian cyst as an inguinolabial swelling as in our patient is extremely rare. We present here one of the few reported cases of a laparoscopic excision of a large ovarian cyst herniating into the inguinal canal and discuss the pathogenesis of an ovarian cyst as hernial content, the advantages and concerns of a laparoscopic approach in resecting large ovarian cysts, and simultaneous management of the inguinal hernia.",
keywords = "composite mesh, hernioplasty, inguinal hernia, laparoscopic excision, ovarian cyst, unusual hernial content",
author = "MacHado, {Norman Oneil} and MacHado, {Lovina S M} and {Al Ghafri}, Wadha",
year = "2011",
month = "8",
doi = "10.1097/SLE.0b013e31822671d3",
language = "English",
volume = "21",
journal = "Surgical Laparoscopy, Endoscopy and Percutaneous Techniques",
issn = "1530-4515",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Laparoscopic excision of a large ovarian cyst herniating into the inguinal canal

T2 - A rare presentation

AU - MacHado, Norman Oneil

AU - MacHado, Lovina S M

AU - Al Ghafri, Wadha

PY - 2011/8

Y1 - 2011/8

N2 - Inguinal hernia repair is one of the most common operation in surgical practice. Despite its common occurrence, hernia often poses a surgical dilemma even for a skilled surgeon. The unexpected hernial content constitutes one of these cases. Although the often-reported, unusual contents of a hernia sac include ovary, fallopian tube, vermiform appendix, Meckel diverticulum, and urinary bladder, the herniation of a large ovarian cyst into the inguinal canal has been hardly reported. Majority of the ovarian cysts are asymptomatic or present with vague lower abdominal pain, whereas the presentation of a large ovarian cyst as an inguinolabial swelling as in our patient is extremely rare. We present here one of the few reported cases of a laparoscopic excision of a large ovarian cyst herniating into the inguinal canal and discuss the pathogenesis of an ovarian cyst as hernial content, the advantages and concerns of a laparoscopic approach in resecting large ovarian cysts, and simultaneous management of the inguinal hernia.

AB - Inguinal hernia repair is one of the most common operation in surgical practice. Despite its common occurrence, hernia often poses a surgical dilemma even for a skilled surgeon. The unexpected hernial content constitutes one of these cases. Although the often-reported, unusual contents of a hernia sac include ovary, fallopian tube, vermiform appendix, Meckel diverticulum, and urinary bladder, the herniation of a large ovarian cyst into the inguinal canal has been hardly reported. Majority of the ovarian cysts are asymptomatic or present with vague lower abdominal pain, whereas the presentation of a large ovarian cyst as an inguinolabial swelling as in our patient is extremely rare. We present here one of the few reported cases of a laparoscopic excision of a large ovarian cyst herniating into the inguinal canal and discuss the pathogenesis of an ovarian cyst as hernial content, the advantages and concerns of a laparoscopic approach in resecting large ovarian cysts, and simultaneous management of the inguinal hernia.

KW - composite mesh

KW - hernioplasty

KW - inguinal hernia

KW - laparoscopic excision

KW - ovarian cyst

KW - unusual hernial content

UR - http://www.scopus.com/inward/record.url?scp=80052250751&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80052250751&partnerID=8YFLogxK

U2 - 10.1097/SLE.0b013e31822671d3

DO - 10.1097/SLE.0b013e31822671d3

M3 - Article

C2 - 21857466

AN - SCOPUS:80052250751

VL - 21

JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques

JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques

SN - 1530-4515

IS - 4

ER -