Treatment of reducible inguinal hernia with intra-abdominal lymphangioma as content with sclerotherapy.
Retroperitoneal lyphangioma presenting as inguinal hernia, treated with sclerotherapy
The omentum and small intestine are common contents of inguinoscrotal hernia, but rarely contents like the appendix, ovary with fallopian tubes, urinary bladder, sigmoid colon, and cecum can be encountered. Treatment is usually surgical repair of hernia after replacement or sacrifice of contents. Pelvic lymphangioma presenting as inguino- scrotal hernia is extremely rare. We report a case of 3 years old child who presented with reducible inguinal hernia. Ultrasound revealed lymphatic malformation of the pelvis herniating through the inguinal canal into the scrotum. It was treated by sclerotherapy for the malformation after reduction of sac contents by gentle manipulation. The child is on follow up for 2 years and there has been no recurrence of hernia.