Incarcerated Tuboovarian Inguinal Hernia

The patient is a 36-year-old woman with a history of renal agenesis who came to the emergency department due to pain in the lower abdomen for the previous 12 h. Lab work showed leukocytosis and elevated C-reactive protein levels, and abdominal CT scan revealed the presence of a solid-cystic left inguinal mass. MRI demonstrated an indirect left inguinal hernia due to persistence of the peritoneal–vaginal duct, containing the left ovary and Fallopian tube (Fig. 1). Lichtenstein-type inguinal hernia repair was performed without the need for an adnexectomy (Fig. 2), and the patient was discharged 2 days later with no complications.

Fig. 1

Fig. 2

Diagnosis: inguinal hernia containing incarcerated Fallopian tube and ovary.