A Rare Case Report of Inguinal Hernia with Persistent Mullerian Duct and Klinefelter Syndrome

Inguinal hernia in male is a common problem but having female reproductive organs in hernial sac is rare. It occur because of failure of mullerian duct to regress in a male fetus during embryonic development, result in a syndrome known as Persistent Mullerian Duct Syndrome (PMDS), which is a rare...

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Main Authors: Darpan Dadheech, Prabha Om, Sharma Ankit Shridatt, Ankur Patni, Naveen Verma
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2016-06-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/8050/18361_CE(RA1)_F(T)_PF1(SWAK)_PFA(AK)_PF2(PAG).pdf
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author Darpan Dadheech
Prabha Om
Sharma Ankit Shridatt
Ankur Patni
Naveen Verma
author_facet Darpan Dadheech
Prabha Om
Sharma Ankit Shridatt
Ankur Patni
Naveen Verma
author_sort Darpan Dadheech
collection DOAJ
description Inguinal hernia in male is a common problem but having female reproductive organs in hernial sac is rare. It occur because of failure of mullerian duct to regress in a male fetus during embryonic development, result in a syndrome known as Persistent Mullerian Duct Syndrome (PMDS), which is a rare entity of male pseudohermaphroditism. We hereby present a case of 21-year-old male patient reported with complains of cryptorchidism and inguinal hernia. Generally diagnosis of PMDS was established during investigation like ultrasonography, MRI for localization of undescended testis and during surgical exploration for inguinal hernia or cryptorchidism. Our patient was operated by bilateral inguinal incision; hernial sac contained adult size uterus fallopian tube and upper 2/3rd of vagina. On karyotyping it was found that he was a case of klinefelter syndrome also. Association of PMDS with klinefelter syndrome is very rare.
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spelling doaj.art-38d2bd90c0774c12954d9121530b25472022-12-22T02:14:41ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-06-01106PD28PD2910.7860/JCDR/2016/18361.8050A Rare Case Report of Inguinal Hernia with Persistent Mullerian Duct and Klinefelter SyndromeDarpan Dadheech0Prabha Om1Sharma Ankit Shridatt2Ankur Patni3Naveen Verma4Resident, Department of General Surgery, S.M.S. Medical College & Hospital, Jaipur, Rajasthan, India.Professor and Head, Department of General Surgery, S.M.S. Medical College & Hospital, Jaipur, Rajasthan, India.Resident, Department of General Surgery, S.M.S. Medical College & Hospital, Jaipur, Rajasthan, India.Resident, Department of General Surgery, S.M.S. Medical College & Hospital, Jaipur, Rajasthan, India.Resident, Department of General Surgery, S.M.S. Medical College & Hospital, Jaipur, Rajasthan, India.Inguinal hernia in male is a common problem but having female reproductive organs in hernial sac is rare. It occur because of failure of mullerian duct to regress in a male fetus during embryonic development, result in a syndrome known as Persistent Mullerian Duct Syndrome (PMDS), which is a rare entity of male pseudohermaphroditism. We hereby present a case of 21-year-old male patient reported with complains of cryptorchidism and inguinal hernia. Generally diagnosis of PMDS was established during investigation like ultrasonography, MRI for localization of undescended testis and during surgical exploration for inguinal hernia or cryptorchidism. Our patient was operated by bilateral inguinal incision; hernial sac contained adult size uterus fallopian tube and upper 2/3rd of vagina. On karyotyping it was found that he was a case of klinefelter syndrome also. Association of PMDS with klinefelter syndrome is very rare.https://jcdr.net/articles/PDF/8050/18361_CE(RA1)_F(T)_PF1(SWAK)_PFA(AK)_PF2(PAG).pdfmale pseudohermaphroditismpersistent mullerian duct syndromeundescended testis
spellingShingle Darpan Dadheech
Prabha Om
Sharma Ankit Shridatt
Ankur Patni
Naveen Verma
A Rare Case Report of Inguinal Hernia with Persistent Mullerian Duct and Klinefelter Syndrome
Journal of Clinical and Diagnostic Research
male pseudohermaphroditism
persistent mullerian duct syndrome
undescended testis
title A Rare Case Report of Inguinal Hernia with Persistent Mullerian Duct and Klinefelter Syndrome
title_full A Rare Case Report of Inguinal Hernia with Persistent Mullerian Duct and Klinefelter Syndrome
title_fullStr A Rare Case Report of Inguinal Hernia with Persistent Mullerian Duct and Klinefelter Syndrome
title_full_unstemmed A Rare Case Report of Inguinal Hernia with Persistent Mullerian Duct and Klinefelter Syndrome
title_short A Rare Case Report of Inguinal Hernia with Persistent Mullerian Duct and Klinefelter Syndrome
title_sort rare case report of inguinal hernia with persistent mullerian duct and klinefelter syndrome
topic male pseudohermaphroditism
persistent mullerian duct syndrome
undescended testis
url https://jcdr.net/articles/PDF/8050/18361_CE(RA1)_F(T)_PF1(SWAK)_PFA(AK)_PF2(PAG).pdf
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