Image of the Month—Quiz Case | Gastroenterology | JAMA Surgery | JAMA Network
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Special Feature
July 1, 2004

Image of the Month—Quiz Case

Author Affiliations

From the Department of Surgery, Madigan Army Medical Center, Fort Lewis, Wash (Drs Steele, Martin, Mullenix, and Azarow), and the Department of Obstetrics and Gynecology, Bremerton Naval Hospital, Bremerton, Wash (Dr Bidus). Dr Steele is now with the Department of General Surgery, Darnall Army Community Hospital, Fort Hood, Tex.



Arch Surg. 2004;139(7):797. doi:10.1001/archsurg.139.7.797

An 18-year-old woman presented with a 2-year history of intermittent right groin pain and swelling. Physical examination demonstrated a 2 × 4-cm soft, nontender, nonreducible mass in the right inguinal region. She had normal breast and secondary sexual development. Ultrasonography of the right groin demonstrated a tubular structure, which was thought to be small bowel. An exploration of the right groin showed the fallopian tube and ovary in a hernia sac protruding through a defect in the external oblique aponeurosis (Figure 1). The structures were lying in the subcutaneous tissue and not attached to the uterus (Figure 2).

When Identifying This Anatomy, What Other Organ System(s) Need to Be Evaluated for Concomitant Abnormalities?




D.All of the above