Asian Journal of Case Reports in Surgery

Introduction: The presence of female reproductive organs in an inguinal hernia is a rare occurrence. Patients may present with vague symptoms such as localized pain in the inguinal region. A visible swelling may also be present. The herniation of ovary and fallopian tube represents a medical emergency requiring immediate intervention to prevent ovarian torsion. While this condition can occur following tubal ligation, such cases are extremely rare.

Case Presentation: A 37-year-old female patient presented with a complaint of left-sided lower abdominal pain for 6 months, which was insidious in onset and gradually increased in intensity over the last 3 days before presentation. The pain was dull aching in nature and not relieved with medications. It was aggravated during the menstrual cycle. She had undergone single-incision laparoscopic tubal ligation 5 years ago. On examination, the significant finding was tenderness and swelling at the level of the deep inguinal ring. During operative exploration, an inguinal hernia was found containing an ovary with fallopian tube. The contents were reduced back into the pelvic cavity, and meshplasty was performed.

Conclusion: The presence of an ovarian hernia after tubal ligation is a rare finding. It may suggest a complication of tubal ligation. Having suspicion of this condition in female patients with inguinal hernia leads to early diagnosis and prompt surgical management.