| Summary: | Introduction: Uncommon structures such as the content of a hernial sac have been described. However, in Cuba no giant ovarian cyst has been reported as contents of the sac.
Objective: To present a female patient with an inguinocrural hernia with a giant ovarian cyst as the content of the hernial sac.
Clinical case: 81-year-old female patient with progressive left inguinocrural enlargement of 27 years of evolution. A left inguinocrural hernia with loss of abdominal domain was diagnosed. After six pneumoperitoneums, an operation was carried out and a giant ovarian cyst was found as the contents of the sac, the histological study showed a cystadenoma. A prosthetic synthetic mesh was placed and a combination of techniques was used to repair the posterior wall and the crural ring. Antibiotic therapy was performed according to the protocol. The evolution was satisfactory without reproduction of the hernia.
Conclusions: The presence of a giant ovarian cyst as the content of a hernia sac is rare. The combined approach and the use of elements of various techniques allowed a satisfactory repair.
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