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Titolo:
Ovary in hernia sac: Prolapsed or a descended gonad?
Autore:
Ozbey, H; Ratschek, M; Schimpl, G; Hollwarth, ME;
Indirizzi:
Graz Univ, Sch Med, Dept Pediat Surg, Graz, Austria Graz Univ Graz Austria z Univ, Sch Med, Dept Pediat Surg, Graz, Austria Graz Univ, Sch Med, Dept Pathol, Graz, Austria Graz Univ Graz AustriaGraz Univ, Sch Med, Dept Pathol, Graz, Austria
Titolo Testata:
JOURNAL OF PEDIATRIC SURGERY
fascicolo: 6, volume: 34, anno: 1999,
pagine: 977 - 980
SICI:
0022-3468(199906)34:6<977:OIHSPO>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
MULLERIAN DUCT SYNDROME; INHIBITS TESTICULAR DESCENT; GUBERNACULAR DEVELOPMENT; SUSPENSORY LIGAMENTS; PROCESSUS-VAGINALIS; ANDROGEN RECEPTOR; INGUINAL-HERNIA; ROUND LIGAMENT; TESTIS; ANATOMY;
Keywords:
inguinal hernia; round ligament; gubernaculum; testicular descent;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Ozbey, H UnivyIstanbul, Istanbul Fac Med, Dept Pediat Surg, TR-34390 Istanbul, Turke Univ Istanbul Istanbul Turkey TR-34390 TR-34390 Istanbul, Turke
Citazione:
H. Ozbey et al., "Ovary in hernia sac: Prolapsed or a descended gonad?", J PED SURG, 34(6), 1999, pp. 977-980

Abstract

Background/Purpose: The ligament that lies in the inguinal hernia sac of girls is known to be the round ligament and is described as homologous to the male gubernaculum. An ovary in a hernia sac might be assumed to mimic descent of the testis. The aim of this study is to determine whether this ligament has a role in final ovarian position. Methods: Samples of peritoneal tissues containing the ligament were obtained from 15 female infants and children who underwent inguinal hernia repair. Tissue specimens were evaluated through histopathologic and immunohistological analyses. Results: The ligament consists of striated and smooth muscle fibers, abundant nerves, and vessels. Estrogen receptors (ER) and progesterone receptors(PR) were identified in submesothelial stromal and smooth muscle cells. Noandrogen receptors (AR) were found. Conclusions: Although its termination in the processus vaginalis is not found to be consistent with the classical description of the round ligament, localization of ERs and PRs prove that the ligament is a target organ influenced by hormones. Because the round ligament is supposed to be the female gubernaculum that has an altered anatomy and localization because of absence of androgen responsiveness, its modified presentation in a processus vaginalis raises the suspicion that the ovary in a hernia sac may not simply beprolapsed, but is a descended gonad. J Pediatr Surg 34:977-980. Copyright (C) 1999 by W.B. Saunders Company.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 20:20:08