title: What is inside the hernia sac?
abstract: Most ovarian inguinal hernias occur in children and are frequently associated with congenital genitalia defects. The authors present the case of a multiparous 89-year-old woman, without any genitalia defect, who was brought to the emergency department with an irreducible inguinal hernia. The patient was proposed for emergency surgery during which we encountered an ovary and a fallopian tube inside the hernial sac. An oophorosalpingectomy and a Lichtenstein procedure were carried out and the postoperative period was uneventful. This case shows that, even though it is rare, a hernial sac may contain almost any intra-abdominal organ, including those least frequent such as the appendix, an ovary or the fallopian tubes.
authors: Hospital Sao Francisco Xavier, Lisboa, Portugal.
authors: Ana Virgínia
authors: AV
authors: Araújo
authors: Hospital Sao Francisco Xavier, Lisboa, Portugal.
authors: Cláudia
authors: C
authors: Santos
authors: Hospital Sao Francisco Xavier, Lisboa, Portugal.
authors: Helena
authors: H
authors: Contente
authors: Hospital Sao Francisco Xavier, Lisboa, Portugal.
authors: Cláudia
authors: C
authors: Branco
mesh_terms: D000369:Aged, 80 and over; D005187:Fallopian Tubes / Q000473:pathology*; D005260:Female; D006552:Hernia, Inguinal / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D010053:Ovary / Q000473:pathology*