Sliding Inguinal Hernia in Elderly Patient Containing Ovary and Fallopian Tube: A Case Report

Introduction: Inguinal hernia repair is one of the most common procedures performed by general surgeons, and it is a pathology that predominantly affects men. The contents of the hernia sac can vary greatly; typically, the omentum and small intestine are found in the hernia sac. However, there may be significant and uncommon variations that are documented and presented in order to improve the patient's diagnosis, treatment, and outcomes.

Case Report: We present the case of an 81-year-old female who consulted to the emergency department with symptomatic bilateral Inguinal hernias, one of which was determined to be a sliding Inguinal hernia containing the ovary and fallopian tube. A laparoscopic posterior preperitoneal approach was used to repair both defects. At the follow-up session, the patient had a great postoperative result without any complications.

Discussion: Commonly encountered in neonates, Inguinal hernias enclosing the ovary, fallopian tube, or uterus are frequently linked to genital tract congenital abnormalities. Although it is extremely uncommon for elderly patients to develop sliding hernias containing adnexa, high intra-abdominal pressures from frequent valsalva maneuvers, displacement of the ovary, Fallopian tube and uterus due to the elongation of the broad, uterine, or ovarian suspensory ligaments in patients with high parity, may be significant risk factors.

Conclusion: Because the ovaries, fallopian tubes, and uterus may be affected, this example emphasizes the significance of giving female patients with Inguinal hernias close attention and effective management in younger patients, inadequate care may potentially affect fertility.