Obstructed inguinal hernia in an adult male: A rare presentation of persistent Müllerian duct syndrome (internal male pseudohermaphroditism): A case report

Persistent Müllerian duct syndrome (PMDS) is an unusual form of internal male pseudohermaphroditism in which Müllerian duct derivatives are seen in phenotypically normal males, with 46, XY karyotype. PMDS is an outcome of defective functioning of the Müllerian inhibiting factor (MIF) or its receptor...

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Main Authors: Musharraf Husain, Sabina Khan, Sanika Deshpande, Kartavya S Yadav
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:International Journal of Abdominal Wall and Hernia Surgery
Subjects:
Online Access:http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2022;volume=5;issue=2;spage=91;epage=94;aulast=Husain
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author Musharraf Husain
Sabina Khan
Sanika Deshpande
Kartavya S Yadav
author_facet Musharraf Husain
Sabina Khan
Sanika Deshpande
Kartavya S Yadav
author_sort Musharraf Husain
collection DOAJ
description Persistent Müllerian duct syndrome (PMDS) is an unusual form of internal male pseudohermaphroditism in which Müllerian duct derivatives are seen in phenotypically normal males, with 46, XY karyotype. PMDS is an outcome of defective functioning of the Müllerian inhibiting factor (MIF) or its receptor. MIF causes degeneration of the Müllerian duct in the fetus. PMDS clinically manifests as cryptorchidism or inguinal hernia, although it is mostly undetected until puberty. We report a rare case of PMDS in a 45-year-old male patient with right-sided cryptorchidism and contralateral inguinal hernia. Upon exploration of the hernial sac, it contained a uterus-like mass with attached left testis. Biopsy and subsequent histopathological examination of the mass confirmed the presence of endometrial glands.
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spelling doaj.art-bcd81a4bf4bd4abcbd163fc00143a95f2022-12-22T03:29:19ZengWolters Kluwer Medknow PublicationsInternational Journal of Abdominal Wall and Hernia Surgery2589-87362589-80782022-01-0152919410.4103/IJAWhs.ijawhs_47_21Obstructed inguinal hernia in an adult male: A rare presentation of persistent Müllerian duct syndrome (internal male pseudohermaphroditism): A case reportMusharraf HusainSabina KhanSanika DeshpandeKartavya S YadavPersistent Müllerian duct syndrome (PMDS) is an unusual form of internal male pseudohermaphroditism in which Müllerian duct derivatives are seen in phenotypically normal males, with 46, XY karyotype. PMDS is an outcome of defective functioning of the Müllerian inhibiting factor (MIF) or its receptor. MIF causes degeneration of the Müllerian duct in the fetus. PMDS clinically manifests as cryptorchidism or inguinal hernia, although it is mostly undetected until puberty. We report a rare case of PMDS in a 45-year-old male patient with right-sided cryptorchidism and contralateral inguinal hernia. Upon exploration of the hernial sac, it contained a uterus-like mass with attached left testis. Biopsy and subsequent histopathological examination of the mass confirmed the presence of endometrial glands.http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2022;volume=5;issue=2;spage=91;epage=94;aulast=Husaininguinal herniamüllerian inhibiting factorpersistent müllerian duct syndrome
spellingShingle Musharraf Husain
Sabina Khan
Sanika Deshpande
Kartavya S Yadav
Obstructed inguinal hernia in an adult male: A rare presentation of persistent Müllerian duct syndrome (internal male pseudohermaphroditism): A case report
International Journal of Abdominal Wall and Hernia Surgery
inguinal hernia
müllerian inhibiting factor
persistent müllerian duct syndrome
title Obstructed inguinal hernia in an adult male: A rare presentation of persistent Müllerian duct syndrome (internal male pseudohermaphroditism): A case report
title_full Obstructed inguinal hernia in an adult male: A rare presentation of persistent Müllerian duct syndrome (internal male pseudohermaphroditism): A case report
title_fullStr Obstructed inguinal hernia in an adult male: A rare presentation of persistent Müllerian duct syndrome (internal male pseudohermaphroditism): A case report
title_full_unstemmed Obstructed inguinal hernia in an adult male: A rare presentation of persistent Müllerian duct syndrome (internal male pseudohermaphroditism): A case report
title_short Obstructed inguinal hernia in an adult male: A rare presentation of persistent Müllerian duct syndrome (internal male pseudohermaphroditism): A case report
title_sort obstructed inguinal hernia in an adult male a rare presentation of persistent mullerian duct syndrome internal male pseudohermaphroditism a case report
topic inguinal hernia
müllerian inhibiting factor
persistent müllerian duct syndrome
url http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2022;volume=5;issue=2;spage=91;epage=94;aulast=Husain
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AT sabinakhan obstructedinguinalherniainanadultmaleararepresentationofpersistentmullerianductsyndromeinternalmalepseudohermaphroditismacasereport
AT sanikadeshpande obstructedinguinalherniainanadultmaleararepresentationofpersistentmullerianductsyndromeinternalmalepseudohermaphroditismacasereport
AT kartavyasyadav obstructedinguinalherniainanadultmaleararepresentationofpersistentmullerianductsyndromeinternalmalepseudohermaphroditismacasereport