Management
With proper written and informed consent, the patient underwent surgery
under spinal anesthesia. An indirect inguinal hernia was discovered
during intraoperative dissection of the right inguinal canal. The
hernial sac was opened anteriorly, unveiling the ovary, right fallopian
tube, and rudimentary uterus (Figure 4). The hernial contents were
reduced with extreme caution, and a herniotomy was performed. In the
end, mesh plasty was employed to reinforce the posterior wall of the
inguinal canal (Figure 6). The same surgical technique was deployed to
dissect the left inguinal canal. Intraoperatively, the hernial sac was
found to contain the left ovary and fallopian tube (Figure 5). Hernial
contents were reduced, and herniotomy along with mesh hernioplasty was
performed (Figure 7). The patient had an uneventful perioperative course
and was discharged on postoperative day 3.
Before discharge, the patient was also counseled regarding
vaginoplasties and future fertility prospects from the perspective of
the native administrative system, sociocultural system, and religious
beliefs, and advised for regular follow up in gynecology clinics for
genital issues.