Inguinal hernia containing the ovary and fallopian tube with torsion in a three-month-old infant: A rare case of salvaged adnexa

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.