title: Hysterectomy in a male? A rare case report.
abstract: BACKGROUND
  Persistent Mullerian duct syndrome is a rare form of male pseudo-hermaphroditism characterized by the presence of Mullerian duct structures in an otherwise phenotypically, as well as genotypically, normal man; only a few cases have been reported in the worldwide literature. A great variety of organs have been found in indirect inguinal hernial sacs.
  
  
  METHODS
  We report a case of 70 year old man, father of 4 children with unilateral cryptorchidism on the right side and left-sided obstructed inguinal hernia containing uterus and fallopian tube (that is, hernia uteri inguinalis; type I male form of persistent Mullerian duct syndrome) coincidentally detected during an operation for an obstructed left inguinal hernia.
  
  
  CONCLUSIONS
  PMDS is usually coincidently detected during surgical operation, as was in our case. However pre-operative ultrasonography, computerized tomography and MRI allow possible pre-operative diagnosis.(3) CONCLUSION: In cases of unilateral or bilateral cryptorchidism associated with hernia, as in our patient's case, the possibility of PMDS should be kept in mind.
authors.affiliation: Department of General surgery, District Hospital Baramulla, Kashmir, India. Electronic address: afaksherwani@gmail.com.
authors.forename: Afak Yusuf
authors.initials: AY
authors.lastname: Sherwani
authors.affiliation: Department of General surgery, District Hospital Baramulla, Kashmir, India.
authors.forename: Abdul Qayoom
authors.initials: AQ
authors.lastname: Shah
authors.affiliation: Department of General surgery, District Hospital Baramulla, Kashmir, India.
authors.forename: Abdul Majeed
authors.initials: AM
authors.lastname: Wani
authors.affiliation: Department of Anaesthesiology, District Hospital Baramulla, Kashmir, India.
authors.forename: Ahmad Chalkoo
authors.initials: AC
authors.lastname: Bashir
authors.affiliation: Department of Anaesthesiology, District Hospital Baramulla, Kashmir, India.
authors.forename: Ahmad Khan
authors.initials: AK
authors.lastname: Bashir
authors.affiliation: Department of General surgery, District Hospital Baramulla, Kashmir, India.
authors.forename: Farooq Ahmad
authors.initials: FA
authors.lastname: Sofi
authors.affiliation: Department of General surgery, District Hospital Baramulla, Kashmir, India.
authors.forename: Ashfaq Amin
authors.initials: AA
authors.lastname: Wani
authors.affiliation: Department of General surgery, District Hospital Baramulla, Kashmir, India.
authors.forename: Wasim
authors.initials: W
authors.lastname: Lone
authors.affiliation: Department of Anaesthesiology, District Hospital Baramulla, Kashmir, India.
authors.forename: Ab Hamid
authors.initials: AH
authors.lastname: Sherwani
authors.affiliation: Department of General surgery, District Hospital Baramulla, Kashmir, India.
authors.forename: Mehmood Rashid
authors.initials: MR
authors.lastname: Sheikh
authors.affiliation: Department of General surgery, District Hospital Baramulla, Kashmir, India.
authors.forename: Raj Reshi
authors.initials: RR
authors.lastname: Sharma
keywords: Hysterectomy; Inguinal hernia; Male