1세 미만 여아 난소 탈장의 특성과 임상 경과 (Characteristics and Clinical Course of Ovarian Hernias in Infants)

서지정보

· 발행기관 : 대한신생아학회
· 수록지 정보 : Neonatal medicine / 15권 / 1호 / 80 ~ 83페이지
· 저자명 : 최경은, 안소윤, 김경아, 이연경, 신손문, 한병희, 고선영

초록

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.

영어초록

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.

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