title: A Rare Case Report of Inguinal Hernia with Persistent Mullerian Duct and Klinefelter Syndrome.
abstract: Inguinal hernia in male is a common problem but having female reproductive organs in hernial sac is rare. It occur because of failure of mullerian duct to regress in a male fetus during embryonic development, result in a syndrome known as Persistent Mullerian Duct Syndrome (PMDS), which is a rare entity of male pseudohermaphroditism. We hereby present a case of 21-year-old male patient reported with complains of cryptorchidism and inguinal hernia. Generally diagnosis of PMDS was established during investigation like ultrasonography, MRI for localization of undescended testis and during surgical exploration for inguinal hernia or cryptorchidism. Our patient was operated by bilateral inguinal incision; hernial sac contained adult size uterus fallopian tube and upper 2/3(rd) of vagina. On karyotyping it was found that he was a case of klinefelter syndrome also. Association of PMDS with klinefelter syndrome is very rare.
authors: Resident, Department of General Surgery, S.M.S. Medical College & Hospital , Jaipur, Rajasthan, India .
authors: Darpan
authors: D
authors: Dadheech
authors: Professor and Head, Department of General Surgery, S.M.S. Medical College & Hospital , Jaipur, Rajasthan, India .
authors: Prabha
authors: P
authors: Om
authors: Resident, Department of General Surgery, S.M.S. Medical College & Hospital , Jaipur, Rajasthan, India .
authors: Sharma Ankit
authors: SA
authors: Shridatt
authors: Resident, Department of General Surgery, S.M.S. Medical College & Hospital , Jaipur, Rajasthan, India .
authors: Ankur
authors: A
authors: Patni
authors: Resident, Department of General Surgery, S.M.S. Medical College & Hospital , Jaipur, Rajasthan, India .
authors: Naveen
authors: N
authors: Verma
keywords: Male pseudohermaphroditism; Persistent mullerian duct syndrome; Undescended testis