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HERNIA OF UTERUS, OVARIES AND TUBES IN A SIX WEEK OLD INFANT

G. Y. GRAVES, M.D.; D. B. McILVOY JR., M.D.
AMA Am J Dis Child. 1951;81(2):250-252. doi:10.1001/archpedi.1951.02040030259008.
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To the surgeon and pediatrician hernia of infancy is of considerable importance. The condition is rather common, occurring in both male and female infants. The hernia may appear early in infancy as a small swelling in the groin or later when the crying and straining become more vigorous. This congenital lesion occurs less frequently in girls than in boys; in them during the development and attachment of the round ligament there is a process of peritoneum accompanying it down through the inguinal canal which is similar to the processus vaginalis peritonali in boys, but is known as the canal of Nuck. This canal normally closes off entirely and disappears, but it may persist and cause an inguinal hernia. In the female infant it is not uncommon to find an ovary present in the sac, which may become irreducible and partially strangulated. Hertzfeld,1 Fuld,2 Mac Lennan3 and others

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