Inguinal hernia containing uterus in a newborn: What to do?

A preterm newborn of 31 weeks of gestation was admitted because of hyaline membrane disease and apnea-bradycardia syndrome. On day 3 of life, a left inguinal hernia was detected, but was not painful and reducible. Sonographically, a homogeneous and hypoechoic mass containing a hyperecoic line was observed in the hernia sac, corresponding to a uterus with the endometrium. Besides the uterus, one of the ovaries could be seen. Color Doppler ultrasonography revealed no vascular compromise (Figs. 1 and 2).
Source: Pediatrics and Neonatology - Category: Perinatology & Neonatology Authors: Tags: Images Source Type: research