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Inguinal hernia repair is one of the most common procedures done in the surgical discipline. The hernia sac commonly contains the omentum and small bowel as contents, but structures such as cecum, appendix, urinary bladder, Fallopian tubes, and ovary have been reported. We report an extremely rare presentation in our emergency of a right indirect irreducible inguinal hernia containing hemorrhagic ovarian cyst in an adolescent female. The inguinal region was explored, the cyst was excised, the contents were reduced, and a polypropylene mesh was laid. The preservation of reproductive organs and fertility with prompt surgical intervention is extremely important in such cases of inguinal hernia.