Sliding indirect hernia containing both ovaries.

Area of Science:

• Pediatric Surgery
• Reproductive Anatomy
• Congenital Abnormalities

Background:

• Sliding indirect inguinal hernias are common in infant girls, often involving one ovary and fallopian tube.
• Hernias containing both ovaries are exceptionally rare, posing unique diagnostic and surgical challenges.

Observation:

• A one-year-old female infant presented with a large indirect inguinal hernia.
• The hernia sac was found to contain unusual pelvic structures.

Findings:

• The hernia sac contained the left uterine fundus, left bladder ear, and both ovaries with their respective fallopian tubes.
• This represents a rare instance of bilateral adnexal and uterine/bladder involvement in a sliding inguinal hernia.

Implications:

• This case underscores the importance of thorough intraoperative assessment for rare anatomical variations in pediatric inguinal hernias.
• Accurate identification and management are crucial to preserve reproductive potential and prevent complications in affected infants.