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
SN - 1530-4515
VL - 21
SP - e215-e218
JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
IS - 4
ER -