Display options
Share it on

Int J Surg Case Rep. 2014;5(12):1285-7. doi: 10.1016/j.ijscr.2014.10.020. Epub 2014 Oct 30.

Hysterectomy in a male? A rare case report.

International journal of surgery case reports

Afak Yusuf Sherwani, Abdul Qayoom Shah, Abdul Majeed Wani, Ahmad Chalkoo Bashir, Ahmad Khan Bashir, Farooq Ahmad Sofi, Ashfaq Amin Wani, Wasim Lone, Ab Hamid Sherwani, Mehmood Rashid Sheikh, Raj Reshi Sharma

Affiliations

  1. Department of General surgery, District Hospital Baramulla, Kashmir, India. Electronic address: [email protected].
  2. Department of General surgery, District Hospital Baramulla, Kashmir, India.
  3. Department of Anaesthesiology, District Hospital Baramulla, Kashmir, India.

PMID: 25481861 PMCID: PMC4276263 DOI: 10.1016/j.ijscr.2014.10.020

Abstract

INTRODUCTION: 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.

PRESENTATION OF CASE: 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.

DISCUSSION: 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.

Copyright © 2014. Published by Elsevier Ltd.

Keywords: Hysterectomy; Inguinal hernia; Male

References

  1. Radiographics. 2003 Mar-Apr;23 (2):309-13 - PubMed
  2. Acta Chir Belg. 2006 Jan-Feb;106(1):119-20 - PubMed
  3. S Afr Med J. 1978 Apr 22;53(16):639-42 - PubMed
  4. Rare Tumors. 2010 Mar 31;2(1):e6 - PubMed
  5. Urology. 2006 Feb;67(2):424.e3-424.e6 - PubMed
  6. Acta Chir Belg. 1984 Jul-Aug;84(4):255-8 - PubMed
  7. Clin Imaging. 2008 Jul-Aug;32(4):314-7 - PubMed
  8. Indian J Radiol Imaging. 2010 Feb;20(1):72-4 - PubMed
  9. Urology. 1997 Jun;49(6):941-5 - PubMed
  10. Indian J Pathol Microbiol. 2009 Oct-Dec;52(4):546-8 - PubMed

Publication Types