An inguinal hernia that was not meant to be: a female with seminoma.
Complete androgen insensitivity is a rare X-linked disorder characterised by a female phenotype in a chromosomally male individual. It usually presents at puberty with primary amenorrhoea or as an inguinal mass in a female infant. Treatment includes bilateral orchidectomy and hormone replacement therapy. We present the case of a 31-year-old female with complete androgen insensitivity and a presumed inguinal hernia. We discuss the importance of early diagnosis, emphasise the consequences of misdiagnosis, and raise the question of whether such patients have been appropriately managed in the past.
Costopoulos
C
C
Department of Urology, Addenbrooke's Hospital, Queens' College, Cambridge CB3 9ET, UK. ccostopoulos@doctors.org.uk
Ariyarathenam
A V
AV
Bullock
N
N
D000328:Adult; D013734:Androgen-Insensitivity Syndrome / Q000150:complications*; D003937:Diagnosis, Differential; D005260:Female; D006552:Hernia, Inguinal / Q000175:diagnosis*; D006801:Humans; D008297:Male; D009919:Orchiectomy; D018239:Seminoma / Q000175:diagnosis*; D013736:Testicular Neoplasms / Q000175:diagnosis*