title: Hernia uteri inguinalis in a case of ovotesticular disorder of sexual differentiation.
abstract: An 18-year-old phenotypic male presented with an irreducible left inguinal mass, gynecomastia, and hypospadias. This mass on exploration was found to be a nonfunctional uterus with ipsilateral ovary and was excised. Further investigation confirmed the presence of a contralateral testis and a genotype of 46, XX. This confirmed the diagnosis of ovotesticular disorder of sexual differentiation (formerly true hermaphroditism) with obstructed hernia uteri inguinalis. The patient was raised as a male. Subcutaneous mastectomy for gynecomastia and neourethra construction with full thickness skin graft for hypospadias were performed. Hernia uteri inguinalis is rarely seen in this condition with only 2 cases being reported worldwide thus far, including our case.
authors: Department of General Surgery, Bangalore Medical College and Research Institute, Fort, Bangalore, India. anikethv@gmail.com
authors: Aniketh
authors: A
authors: Venkataram
authors: Sadashivaiah
authors: S
authors: Shivaswamy
authors: Rajashekara
authors: R
authors: Babu
authors: Shivashankar
authors: S
authors: Santhosh
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D058490:Disorder of Sex Development, 46,XY / Q000175:diagnosis*; D005260:Female; D023961:Gonadal Dysgenesis, 46,XX / Q000150:complications / Q000175:diagnosis* / Q000235:genetics; D006801:Humans; D008297:Male; D050090:Ovotesticular Disorders of Sex Development; D012733:Sex Differentiation; D051876:Sex-Determining Region Y Protein / Q000172:deficiency / Q000235:genetics; D014599:Uterus / Q000002:abnormalities*
chemical_list: D051876:Sex-Determining Region Y Protein