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Pelvis » Female Pelvis (Gynecology)
Left ectopic ovary in an infant
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Author(s) :
Chaitali Shah, FRCR
 
Presentation A 3 month old female child presents with left incarcerated hernia. An ultrasound was performed.
 
 
 
Caption: Sagittal image of the palpable abnormality
Description: Scan over the palpable soft tissue abnormality in the left inguinal region reveals an oval soft tissue mass. The mass has a tiny cystic area within it.
 
 
 
Caption: Transverse image of the left inguinal region
Description: The palpable soft tissue nodule is noted again with the prominent cystic area within it.
 
 
 
Caption: Magnified image of the left soft tissue mass
Description: Additional cystic areas are seen within the nodule. This mass has the sonographic appearance of ovarian tissue and most likely represents an ectopic left ovary.
 
 
 
Caption: Transverse color Doppler view
Description: The vascularity seen within the palpable mass is compatible with normal ovarian vascularity.
 
 
 
Caption: Transverse image of pelvis
Description: The infantile uterus is seen here. The ovaries could not be identified.
 
 
 
Caption: Sagittal section of the pelvis
Description: The infantile uterus is again identified and appears normal.
 
Differential Diagnosis Left inguinal hernia with the ipsilateral ectopic ovary as its content
 
Final Diagnosis Left incarcerated inguinal hernia with the ipsilateral ectopic ovary as its content
 
Follow Up Based on the clinical and ultrasound findings, this child was operated upon. An incarcerated left ovary along with a sliding component of the fallopian tube was seen in the left inguinal region. This was then reduced and the hernia sac ligated. 
The child tolerated the procedure well.
 
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