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Hernia Uteri Inguinalis

Karthikeyan A S AS


A 50 year-old male presenting with left sided obstructed inguinal hernia was found to have uterine tissue extending through the inguinal canal, warranting a diagnosis of persistent Mullerian duct syndrome (PMDS). PMDS is an extremely rare form of internal male pseudo-hermaphroditism in which female internal sex organs, including the uterus, fallopian tube, persist in a 46XY male with normal external genitalia. The condition results from a congenital insensitivity to anti-Mullerian hormone, or lack of anti-Mullerian hormone, leading to persistence of the female internal sex organs in a male. Patient taken up for emergency surgery.On exploration of scrotum revealed small bowel along with it rudimentary uterus and fallopian tube without ovary was found. It was excised , the operation was completed by left inguinal herniorraphy and its contents confirmed by histopathology report. Opposite scrotum and testis was found to be normal.


:Obstructed inguinal hernia, Hernia Uterus inguinalis, Mullerian duct syndrome

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