Internal Hernia through an Ovarian Cyst: Another Anatomical Particularity

The authors describe a rare case of small-bowel obstruction caused by an internal hernia through a right ovarian cyst in a 52-year-old woman. Pre-operative CT suggested obstruction with a co-existing ovarian cyst, and laparotomy confirmed an incarcerated, perforated ileal loop that required wedge resection and cystectomy. The patient recovered uneventfully and was discharged on postoperative day 4. The report highlights an exceptional anatomical route for internal herniation and underscores the value of imaging for early suspicion.