Ovarian tumour presenting as an inguinal hernia in a postmenopausal woman with Mullerian agenesis: A case report
Document Type
Article
Publication Date
1-1-2024
Abstract
Although inguinal hernias are common with inguinal hernia repairs being a common surgical procedure, ovarian inguinal hernias are rare. A 67-year-old postmenopausal woman presented with a 10-year history of right inguinal swelling on a background of primary amenorrhoea. Clinical examination revealed a 10 cm right irreducible hernia. Ultrasound and computed tomographic imaging confirmed an ovarian mass in the inguinal hernia with absent uterus and right kidney in the pelvis. Mullerian agenesis with ovarian hernia was diagnosed, however malignancy was considered due to tumour size and raised cancer antigen 125 (CA125). She underwent diagnostic laparoscopy, bilateral salpingo-oopherectomy, partial omentectomy, and inguinal hernia repair. Histopathological reports confirmed ovarian fibroma. Ovarian hernia is rare in postmenopausal women but must be considered in those presenting with inguinal masses. It can occur together with Mullerian abnormalities. CA125 can be elevated in various benign conditions, making interpretation and diagnosis difficult. Multidisciplinary approach is vital to ensure the best outcome for the patient. © 2024 Royal Thai College of Obstetricians and Gynaecologists. All rights reserved.
Keywords
Inguinal hernia, MRKH (Mayer-Rokitansky-Kuster-Hauser) syndrome, Mullerian agenesis, Ovarian tumour
Divisions
obstetrics
Publication Title
Thai Journal of Obstetrics and Gynaecology
Volume
32
Issue
1
Publisher
Royal Thai College of Obstetricians and Gynaecologists