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.