Parents of a 6-month-old girl turned to the surgeon in the public clinic with complaints about the bulging in the groin that appeared in the child the other day after the massage. The surgeon sent them for an urgent ultrasound.
On ultrasound in the groin, a lesion with an echo-pattern resembling a kidney is visualized, solid with the an/hypoechoic rounded inclusions with an echogenic rim, with no blood flow at CFM and PD, two vessels are visualized at the gate of the lesion at CFM, at PW the arterial spectrum with RI = 0.8. The bladder and both kidneys are without features.
A strangulated inguinal hernia was suspected and the child was hospitalized. According to a colleague, the solid lesion in the groin turned out to be an ovary.