title: Hernia uterus inguinale: a proposed algorithm using the laparoscopic approach.
abstract: The authors present a case of hernia uteri inguinale, or the presence of Mullerian duct structures in an inguinal hernia. This entity presents in phenotypic males presumably secondary to defects in the action of the Mullerian inhibiting substance and presents a pediatric surgeon with management dilemmas. The long-term complications associated with the gonads if left intact include the risk of malignancy and infertility. We describe the use of the laparoscopic technique in the management of this condition and propose an algorithm for the management of this condition.
authors.affiliation: Department of Pediatric Surgery, the Children's Mercy Hospital, Kansas City, MO 64108, USA.
authors.forename: Kiran K
authors.initials: KK
authors.lastname: Turaga
authors.forename: Shawn D
authors.initials: SD
authors.lastname: St Peter
authors.forename: Casey M
authors.initials: CM
authors.lastname: Calkins
authors.forename: George W
authors.initials: GW
authors.lastname: Holcomb
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Ostlie
authors.forename: Charles L
authors.initials: CL
authors.lastname: Snyder
mesh_terms: D000465:Algorithms; D012734:Disorders of Sex Development / Q000150:complications / Q000601:surgery; D005260:Female; D006552:Hernia, Inguinal / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D007223:Infant; D010535:Laparoscopy; D008297:Male; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000601:surgery*; D014599:Uterus / Q000002:abnormalities*