Emergency department diagnosis of an ovarian inguinal hernia in an 11-year-old female using pointof-care ultrasound
10.5847/wjem.j.1920-8642.2018.04.010
- Author:
Richard Amini Richard Amini
1
;
Nicola Baker Nicola Baker
2
;
Dale P. Woolridge Dale P. Woolridge
1
;
Angela B. Echeverria Angela B. Echeverria
3
;
Albert Amini Albert Amini
4
;
Srikar Adhikari Srikar Adhikari
1
Author Information
1. Department of Emergency Medicine, The University of Arizona, Tucson, AZ, USA
2. Department of Emergency Medicine, Northwest Medical Center, Tucson, AZ, USA
3. Department of Surgery, Baylor College of Medicine, Houston, TX, USA
4. Arizona Premier Surgery, Chandler, AZ, USA
- Publication Type:Case Reports
- Keywords:
Inguinal hernias;
- From:
World Journal of Emergency Medicine
2018;9(4):291-293
- CountryChina
- Language:English
-
Abstract:
Inguinal hernias affect 5% of children and are usually defined as a protrusion of intestine or omentum through abdominal wall or inguinal canal defects.[1] Inguinal hernias may contain structures other than bowel and unique cases have been documented since the early 1900's.[2–10] Ultrasound has been demonstrated to differentiate superficial swellings and has been used by radiologists to evaluate inguinal masses for decades.[1–5,11–13] Although the use of radiology-performed ultrasound for the diagnosis of congeni tal inguinal hernias containing ovaries, uterus, and fallopian tubes has been documented; the use of point-of-care ultrasound for the evaluation of the acute inguinal mass prior to reduction has not been demonstrated. Accurate identification by the emergency physician of the herniated structures may lead to earlier diagnosis, faster consultation, improve patient management, and superior patient outcomes.
