Abstract
Embryoanatomical peculiarities are responsible for low occurrence of inguinal hernias in females. Amongst them, ovarian hernias are rarer. They are commonly noticed in children. An attending surgeon commonly faces diagnostic and operative dilemmas in managing these overtly “simple-looking” clinical scenarios. Although ovarian cysts are one of the common contents of the sac, we report a case of adult incarcerated ovarian hernia who presented with a ruptured hemorrhagic ovarian cyst. This differential should be kept in mind while treating an adult female with painful inguinal swelling. As far our knowledge goes, such case with ruptured ovarian cyst presenting as an incarcerated hernia in an emergency scenario has not been reported as yet.
Highlights
Groin hernia is one of the most common disorders tackled by any general surgeon
Inguinal hernia is the commonest subtype in females
Though almost every pelvic organ has been described as the content of the inguinal sac, ovarian hernias remain one of the rarer subtypes usually seen in pediatric population [1, 2]
Summary
Groin hernia is one of the most common disorders tackled by any general surgeon. Inguinal hernia is the commonest subtype in females. We describe a case presenting as incarcerated inguinal hernia with ruptured hemorrhagic ovarian cyst as the content—a rare clinical scenario. A detailed history taking revealed that it was a reducible swelling present since birth. She denied any history of irreducibility in the past. As it was otherwise asymptomatic, she never bothered to consult any physician. Local examination revealed a globular, tender 4 × 4 cm irreducible swelling without an expansible impulse on coughing. It was situated above the inguinal skin crease. Postoperative recovery of the patient was good Histopathology confirmed that it was a hemorrhagic ovarian cyst
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