An 11-month-old baby girl (resident of Dong Nai) was taken to Children's Hospital 2 in a state of a large blister, tightening pain in the left ankle area, accompanied by a lot of crying. The family said that the blister appeared when the baby was 2-3 months old but did not go for examination because they thought it was not dangerous.
Through examination and ultrasound, the doctor determined that the baby had a left Nuck tube hernia, complications of ovarian blockage, causing reduced blood supply and risk of injury. The team performed emergency surgery to release blockage and preserve the ovaries. After surgery, the baby recovered well, and ovarian function returned to normal after a week.
According to Assoc. Prof. Dr. Pham Ngoc Thach - Deputy Director of Children's Hospital 2, Nuck tube hernia is a rare congenital disease in girls, occurring when the peritoneum is not closed after birth, causing the ovaries or fallopian tubes to fall down to the groin area. Although the rate of groin hernia in girls is only about 0.74%, much lower than in boys, the risk of complications of appendicitis is very high, possibly up to 43%, especially in the first year of life.
What is worrying is that the disease is often easily overlooked. Bumps in the groin or large lips may only appear when children cry, dip or exercise, and then subside when resting, causing many parents to be subjective. Unlike boys who often have intestinal hernias, in girls, the hernia is mainly in the ovaries or fallopian tubes, so when suffocated or twisted, it can lead to necrosis, affecting fertility later.
Doctors recommend that parents take their children to the doctor immediately when they see a bulge in the groin area, large lips, especially if the bulge does not collapse on its own, is stiff, painful, the child cries a lot or cannot push it in. If a Nuck hernia is diagnosed, early surgery is necessary to prevent dangerous complications.
