成年女性腹股沟卵巢疝临床罕见，合并子宫圆韧带腺肌瘤者更为罕见。本文报道1例49岁女性罹患右侧腹股沟卵巢疝并子宫圆韧带腺肌瘤的诊治过程，并结合文献对该病例进行了分析，探讨了成年腹股沟卵巢疝的临床特征、诊断和治疗，强调其术前诊断困难，常易误诊或漏诊，超声、CT或MRI评估存在"缺失"的同侧卵巢可帮助诊断。手术是主要治疗手段，术中需注意保护卵巢及生育功能，同时需行疝修补术，预防术后复发。

Inguinal ovarian hernia in adult women is rare, and cases concomitant with adenomyoma of the uterine round ligament are even rarer. Here, we report the diagnostic and therapeutic course of a 49-year-old woman with a right-sided inguinal ovarian hernia complicated by adenomyoma of the round ligament. We further analyzed this case in conjunction with the literature, with a focus on the clinical characteristics, diagnosis, and management of adult inguinal ovarian hernia. Preoperative diagnosis remains challenging, and the condition is prone to misdiagnosis or missed diagnosis. Imaging modalities such as ultrasonography, computed tomography, or magnetic resonance imaging demonstrating an "absent" ipsilateral ovary can facilitate the diagnosis. Surgery is the mainstay of treatment. Intraoperatively, particular attention should be paid to preserving the ovary and reproductive function, and hernia repair should be performed to prevent postoperative recurrence.