What are the ultrasound findings of ovarian hernia?
Jun 01, 2023
Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
The ultrasound findings of ovarian hernia generally show a round mass with hypoechoic appearance in the local area. Ovarian hernia is a special type of indirect inguinal hernia, referring to the presence of ovarian tissue within the herniated contents, commonly seen in females and newborns. The hernia extends through the internal ring into the iliac fossa, and sometimes can be observed at the base of the uterus. Patients should seek timely medical treatment after diagnosis.
Ovarian hernia typically appears on ultrasound as a localized round mass with hypoechoic characteristics. The detailed analysis is as follows:
Ovarian hernia is a special type of indirect inguinal hernia, referring to the presence of ovarian tissue within the herniated contents, commonly seen in females and newborns. The hernia extends through the internal ring into the iliac fossa, and sometimes can be observed near the base of the uterus. Clinically, ovarian hernia usually presents as a protruding mass in the inguinal region or above the labia majora. Some children may have a history of a reducible mass in this area. Ultrasound examination reveals a solitary inguinal hernia containing round or oval hypoechoic tissue resembling ovarian structure, with clearly visible follicular structures appearing as one or more small cystic anechoic areas. Color Doppler flow imaging (CDFI) can demonstrate blood flow within the herniated ovary, aiding in disease diagnosis.
After diagnosis, patients should seek timely medical treatment. Under the guidance of a physician, symptoms can be improved through surgical procedures such as high ligation of the hernial sac or tension-free hernia repair. During treatment, adequate rest is recommended, strenuous physical activity should be avoided, and emotional stability maintained—excessive tension and anxiety should be minimized.
