We present a case of an inguinal hernia in a premature female infant containing the uterus and bilateral adnexa. This was diagnosed on ultrasound and underwent operative repair. The viable hernia contents were reduced laparoscopically, however the sliding nature of the hernia warranted open repair. Surgery was converted to the traditional inguinal approach and the hernia was successfully repaired with high ligation of the sac and additional closure of the internal ring. Post-operative course was unremarkable. Keywords: Inguinal hernia, Uteri inguinale, Fallopian tube, Female, Prematurity
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