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Case Report
Inguinal hernia containing the ovary and fallopian tube with torsion in a three-month-old infant: A rare case of salvaged adnexa
1 MD, Specialist Radiology, Radiology Department, North Al Batinah, Sultanate of Oman
2 MD, Radiology Specialist, Radiology Department, Sohar Hospital, Sohar, North Al Batinah, Sultanate of Oman
3 Master of Surgery, Pediatric Surgery Department, Sohar Hospital, Sohar, North Al Batinah, Sultanate of Oman
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Jamila Omar Abdalla
MD, Specialist Radiologist, Sohar Hospital, North Al Batinah, Sohar,
Oman
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Article ID: 101533Z01JA2026
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Abdalla JO, Awadelkreem AO, Thakral CL. Inguinal hernia containing the ovary and fallopian tube with torsion in a three-month-old infant: A rare case of salvaged adnexa. Int J Case Rep Images 2026;17(1):27–30.ABSTRACT
Introduction: Inguinal hernia in female infants is uncommon, and the presence of the ovary or fallopian tube inside the hernia sac is even rarer. When torsion occurs, it becomes a true surgical emergency. Ultrasound, especially with color Doppler, plays a major role in identifying the herniated adnexa and detecting loss of blood flow at an early stage. Recognizing this condition quickly is essential to avoid irreversible damage and to preserve ovarian function.
Case Report: A three-month-old baby girl was brought to the emergency department with a tender, non-reducible swelling in the left groin and a one-day history of vomiting. Ultrasound demonstrated an enlarged ovary located within the inguinal canal, showing peripheral follicles and absent Doppler flow, features consistent with ovarian torsion. Surgery confirmed torsion of both the ovary and the fallopian tube inside the hernia sac. Detorsion and hernia repair were performed, and follow-up ultrasound later confirmed complete recovery of the ovary.
Conclusion: This case shows how important early ultrasound evaluation is in detecting adnexal herniation and torsion in infants. Quick diagnosis and prompt surgical detorsion can save the ovary and fallopian tube, even in very young patients.
Keywords: Infant, Inguinal hernia, Ovarian herniation, Ovarian torsion, Ultrasound
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Acknowledgments
The authors used AI-assisted language tools (ChatGPT, OpenAI) only for grammar correction, language polishing, and improving readability. All data, clinical details, interpretations, and final conclusions were entirely generated, verified, and approved by the authors.
Author ContributionsJamila Omar Abdalla - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Atif Osman Awadelkreem - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Chiman Lal Thakral - Acquisition of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2026 Jamila Omar Abdalla et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
