Obstet Gynecol Sci.  2017 Nov;60(6):608-611. 10.5468/ogs.2017.60.6.608.

Laparoscopic total extraperitoneal hernia repair of fallopian tube indirect inguinal hernia in reproductive aged woman: a case report

  • 1Department of Obstetrics and Gynecology, Inje University Busan Paik Hospital, Busan, Korea. obgynjeong@hanmail.net
  • 2Paik Institute for Clinical Research, Inje University Busan Paik Hospital, Busan, Korea.
  • 3Department of General Surgery, Paik Institute for Clinical Research, Inje University Busan Paik Hospital, Busan, Korea.
  • 4Department of Obstetrics and Gynecology, Kosin University Gospel Hospital, Busan, Korea.
  • 5Department of Obstetrics and Gynecology, Haeundae Paik Hospital, Busan, Korea. jjjneedle@gmail.com


An indirect inguinal hernia containing the fallopian tube alone is extremely rare in reproductive-aged women without any genital tract anomalies. Despite this rarity, early diagnosis and adequate management is important to prevent strangulation and recurrence. We present a case of an indirect inguinal hernia containing only the fallopian tube in the hernia sac, which was successfully reduced by using a laparoscopic total extraperitoneal approach and repaired with a polypropylene mesh.


Hernia, inguinal; Fallopian tubes; Laparoscopy

MeSH Terms

Early Diagnosis
Fallopian Tubes*
Hernia, Inguinal*


  • Fig. 1 (A) Ultrasonographic image showing the left hydrosalpinx in the hernia sac. (B) Computed tomography image of the pelvis showing a 6×4 cm cystic structure in the inguinal area (white arrow). (C) Laparoscopic view of herniation of the left fallopian tube in the inguinal canal. (D) Laparoscopic view of the polypropylene mesh used to repair the hernia using the total extraperitoneal hernia repair method. (E) Laparoscopic view of the repaired partial defect of peritoneum in the inguinal internal ring area. (F) Laparoscopic view of the left fallopian tube after reduction. Operative findings showed no ischemic changes and no anatomical abnormalities.


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