Types/Clinical Presentation 4 (Inguinal Hernia)

Operative findings in a 6-month-old girl with a clinically irreducible inguinal hernia of the right side. There is a large, longitudinal, and oval mass with a violet black discoloration, and irregular tubular structures of the same color on the right side of the infant. The opened hernia sac (whose the border is being grasped by 4 forceps) contains the irreversibly injured right ovary and fallopian tube. The adnex is swollen due to the impairment of blood supply with venous congestion.