An 18-year-old woman presented with a 2-year history of intermittent right groin pain and swelling. Physical examination demonstrated a 2 × 4-cm soft, nontender, nonreducible mass in the right inguinal region. She had normal breast and secondary sexual development. Ultrasonography of the right groin demonstrated a tubular structure, which was thought to be small bowel. An exploration of the right groin showed the fallopian tube and ovary in a hernia sac protruding through a defect in the external oblique aponeurosis (Figure 1). The structures were lying in the subcutaneous tissue and not attached to the uterus (Figure 2).