An 18-year-old woman presented with a 2-year history of intermittent right groin pain and swelling. Physical examination demonstrated a 2 × 4-cm soft, nontender, nonreducible mass in the right inguinal region. She had normal breast and secondary sexual development. Ultrasonography of the right groin demonstrated a tubular structure, which was thought to be small bowel. An exploration of the right groin showed the fallopian tube and ovary in a hernia sac protruding through a defect in the external oblique aponeurosis (Figure 1). The structures were lying in the subcutaneous tissue and not attached to the uterus (Figure 2).
D.All of the above
Steele SR, Martin MJ, Mullenix PS, Bidus MA, Azarow KS. Image of the Month—Quiz Case. Arch Surg. 2004;139(7):797. doi:10.1001/archsurg.139.7.797