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Vitiligo is the most common acquired depigmentation of the skin, affecting the patient's self- image and negatively affecting quality of life. As for the pathogenesis of vitiligo, there is an autoimmune theory. Vitamin D deficiency has been shown to exist in many autoimmune diseases. Vitamin D is an essential hormone with pleiotropic effects, especially anti-apoptosis and regulatory functions of melanocyte proliferation and differentiation. It has been hypothesized that it may play a supportive role in the repigmentation of white matter lesions. The immunomodulatory activity of vitamin D may be used to treat vitiligo.

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Introduction: Hernias are abnormal protrusions of any abdominal-pelvic or fat organ, which are produced by a defect in the abdominal wall, the most frequent are inguinal hernias and their content is generally of the omentum or intestinal loops, the presence of pelvic organs is very infrequent and the majority of cases described are in children under five years of age. Objective: To analyze the entity in connection with a case of a patient with a tubo-ovarian inguinal hernia. Clinical case: The case of a 34-year-old female patient is presented, who was under follow-up by the gynecology service due to the presence of a left ovarian cyst, with symptoms of pain in the left iliac fossa for more than 6 months of evolution. which is performed an ultrasound, which reports left inguinal hernia for what is electively scheduled by the general surgery service, when performing the herniorrhaphy incarcerated hernia with left ovary with bleeding follicle and fallopian tube is evidenced. Conclusions: These types of findings are infrequent, documented in the literature with a global incidence of Tubo-ovarian inguinal hernias ranging from 0-8-4.4%, however it is worth clarifying that these studies are in infant patients, so its presentation in adults associated with a hemorrhagic follicle is anecdotal as in this case.