A Two-Month-Old Infant With a Labial Mass: A Case Report

Newborns with inguinal hernias typically present with groin or inguinal swelling, with or without pain. In females, ovarian involvement in an inguinal hernia must be considered, as it is associated with a higher risk of incarceration than a hernia containing bowel. Point-of-care ultrasound can be used in the ED for rapid assessment and diagnosis. We report the case of a two-month-old previously healthy female who presented to the ED with three days of a firm mass in the right labia majora. She was otherwise asymptomatic, feeding and stooling well, and had no vomiting. Her physical examination was notable for a soft, mobile, round structure palpable in the right labia majora. Point-of-care ultrasound revealed a herniated ovary within the canal of Nuck. The patient underwent surgical repair, and the viable ovary was returned to the peritoneal cavity.