4 week old baby girl. Patients mother noticed a lump in the left groin when changing her nappy.
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US shows a structure with follicles consistent with an ovary sitting on the anterior abdominal wall in the first image. In the second image the ovary is seen to partially return into the abdomen. The third image confirms presence of intact vascular supply.
Findings are in keeping with and ovarian inguinal hernia (canal of Nuck hernia). These hernias are at risk of incarceration with subsequent compromise to the vascular supply of the ovary.