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Case Studies | Medical Surgical | India | Volume 7 Issue 7, July 2018 | Rating: 6.6 / 10
Hernia Uteri Inguinale: Rare Incidental Finding in an Adult Male: Case Report
Dr Abhijit S. Powar
Abstract: Hernia uteri inguinale a type 1 persistent mullerian duct syndrome (PMDS) usually an accidental finding either during orchiopexy or during routine inguinal hernia repair in male patients presenting with mal- descended testes. . Persistent Mullerian duct syndrome (PMDS) is a rare form of internal male pseudohermaphroditism in which Mullerian duct derivatives are seen in phenotypically normal male patient. It is caused by a defect in the Mullerian Inhibiting Substance (MIS) system. We are presenting a rare case report of a male aged 68 year presented with left cryptorchidism and right inguinal hernia. Very few cases have been reported in the literature. In India, owing to neglect and lack of facilities, we encounter this condition in adult males. Though rare, every surgeon operating upon inguinal hernia or cryptorchidism needs to know about the presence of the uterus in a phenotypic male patient at any age. High degree of suspicion and awareness is needed to diagnose this condition. Early treatment is needed to maintain fertility and to prevent the occurrence of malignancy in remnant m?llerian structures.
Keywords: hernia uteri inguinale, cryptorchidism, persistent mullerian duct syndrome
Edition: Volume 7 Issue 7, July 2018,
Pages: 266 - 268