Recurrent Groin Hernia Containing the Ovary and Fallopian Tube

A 46-year-old female presented to the emergency room with complaints of right groin pain. A palpable mass was found inferior to the right inguinal ligament. Computed tomography showed evidence of a viscera-containing hernia sac within the femoral canal. The patient was taken to the operating room for exploration of the hernia where a well-perfused right fallopian tube and right ovary were identified within the sac. These contents were reduced, and the facial defect repaired primarily. The patient was discharged and has since been seen in clinic with no residual pain or recurrence of her hernia. Femoral hernias containing gynecological structures pose unique management and only anecdotal evidence exists to guide decision making. Prompt intervention with primary repair resulted in a favorable operative outcome in this case of a femoral hernia containing adnexal structures.