Inguinal ovarian hernia on point of care ultrasound: case reports and review of the literature

An inguinal mass may be an incidental finding on physical examination. There are few descriptions of pediatric hernia with ovarian content in the pediatric emergency literature, and no recommendations for routine point of care ultrasound (POCUS) evaluation of inguinal hernia. We present three cases of ovarian content within an inguinal hernia sac found on POCUS by a pediatric emergency physician, and discuss ultrasound technique and implications of these findings. Inguinal masses should routinely be evaluated with POCUS in order to prevent forceful reduction efforts that may damage the ovary, and to allow for effective surgical triage and early involvement of surgical subspecialists.