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Prenatal diagnosis of inguinoscrotal hernia associated with bowel dilatation: a pathogenetic hypothesis
Author(s) -
Ronzoni Stefania,
Melamed Nir,
Kingdom John C.,
Ryan Greg,
Jaeggi Edgar,
Windrim Rory C.
Publication year - 2015
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.4657
Subject(s) - medicine , hernia , inguinal hernia , fetus , prenatal diagnosis , pregnancy , bowel obstruction , surgery , general surgery , obstetrics , genetics , biology
What's already known about this topic? Rarely, prenatal fetal inguinoscrotal hernia may be diagnosed during intra‐uterine life. To date, few cases have been published in the literature. The pathogenetic mechanism underlying fetal inguinal hernia remains unclear. What does this study add? This is the first case of fetal inguinoscrotal hernia associated with bowel dilatation This study presents a possible causative relationship between the multiple fetal findings. Inguinal hernia can be found in up to 0.88–4.4% of neonates and infants.[1][Grosfeld J, 1989] Rarely, inguinal hernia may be already diagnosed during intra‐uterine life. To date, only 11 cases have been published in the literature.[2][Khatib N, 2013] The mechanism underlying fetal inguinal hernia remains unclear, as does the issue of whether it is secondarily complicated by bowel obstruction during fetal life. Here we describe a case of a pregnancy complicated by prenatal ultrasound findings of fetal bowel dilatation in the presence of fetal inguinoscrotal hernia. The case presentation is followed by a discussion regarding the possible causative relationship between the multiple fetal findings and a review of the literature on fetal inguinal hernia. © 2015 John Wiley & Sons, Ltd.