Laparoscopic transabdominal preperitoneal (TAPP) repair for an irreducible indirect inguinal hernia containing left ovary, dysplastic fallopian tube, and partial rudimentary uterine horn: a case report

This rare case highlights the diagnostic limitations of routine examinations in detecting female inguinal hernias associated with occult reproductive tract anomalies. Laparoscopic TAPP repair enabled simultaneous hernia correction and management of complex genital malformations, such as a rudimentary uterine horn and hypoplastic fallopian tube, while preserving ovarian function. This strategy prevented emergency complications and reoperation, providing a minimally invasive treatment that restores anatomy while preserving fertility and endocrine function in complex accessory hernias.