Characteristics and Clinical Course of Ovarian Hernias in Infants.

Choi,  Kyong Eun; An,  So Yoon; Kim,  Kyung Ah; Ko,  Sun Young; Lee,  Yeon Kyung; Shin,  Son Moon; Han,  Byung Hee

Original Article

Journal of the Korean Society of Neonatology 2008;15(1):80-83.
Published online May 1, 2008.

Characteristics and Clinical Course of Ovarian Hernias in Infants.

Kyong Eun Choi, So Yoon An, Kyung Ah Kim, Sun Young Ko, Yeon Kyung Lee, Son Moon Shin, Byung Hee Han

¹Department of Pediatrics, Cheil General Hospital & Women's, Health Care Center, Kwandong University College of Medicine, Seoul, Korea. kosymd@unitel.co.kr
²Department of Radiology, Cheil General Hospital & Women's, Health Care Center, Kwandong University College of Medicine, Seoul, Korea.

1세 미만 여아 난소 탈장의 특성과 임상 경과

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Abstract

PURPOSE
Inguinal hernias are common in children and sometimes are associated with dangerous complications, such as incarceration. There are no established management guidelines for ovarian hernias. We have reviewed the clinical course of ovarian hernias in infants.
METHODS
We reviewed the medical records of female infants diagnosed with ovarian hernias by ultrasonogram at Kwandong University College of Medicine, Cheil General Hospital, and the Women's Healthcare Center between March 2001 and August 2007. We analyzed the patients gestational age, birth weight, age at the time of detection of the inguinal mass, the patients chief complaints, operative time, post-operative complications, and ultrasonographic findings.
RESULTS
Eight female infants had ovarian hernias, four of whom were born prematurely. Seven infants had left-sided ovarian hernias, and one infant had a right-sided ovarian hernia. Five infants underwent surgery and there were no postoperative complications or recurrences. Three girls did not have surgery, and the ovarian hernias regressed spontaneously, with no recurrences or complications. The regression time of inguinal masses ranged from 70-161 days after birth.
CONCLUSION
Physical examination to detect movable masses within the labium major in premature female infants is important because the incidence of premature inguinal hernias is much higher than in term infants. No rational medical treatment plans for female ovarian hernias have been published to date. We cared for three girls with spontaneous regression of ovarian hernias. Pediatricians should be aware whether emergent surgery for ovarian hernias is indicated.

Key Words: Inguinal hernia; Ovary; Premature infants