A rare case of pediatric inguinal hernia containing bilateral ovaries diagnosed intraoperatively

Ovarian herniation is commonly observed in female infants with inguinal hernia; however, inguinal hernias involving both ovaries are extremely rare. A 6-year-old female with a history of low birth weight presented to our department with a left inguinal bulge. Ultrasonography revealed a highly echogenic mass in the hernia sac, raising the suspicion of herniation of the ipsilateral ovary. We performed a semi-urgent hernia repair. During the procedure, both ovaries were identified within a single sac. Few reports have described inguinal hernias involving both ovaries. Furthermore, previous cases were associated with prolapse of other organs, and to the best of our knowledge, we are the first to report a case of an inguinal hernia involving only both ovaries. Herniation of both ovaries is challenging to diagnose preoperatively, representing a potential pitfall of hernial repair in female infants.