A rare case report of bilateral recurrent inguinal hernia due to persistent Müllerian duct syndrome treated by transabdominal preperitoneal repair.

Abstract:

INTRODUCTION:Persistent Müllerian duct syndrome (PMDS) is a rare disease occurring in men with an otherwise completely normal phenotype, in which female internal sex organs are present, including a uterus, fallopian tubes, cervix, and vagina. We report a case of bilateral recurrent inguinal hernia due to PMDS treated by transabdominal preperitoneal repair (TAPP). PATIENT CONCERNS:A 72-year-old male presented with a complaint of swelling on both sides of the groin. The patient had undergone bilateral inguinal hernia suture repair 50 years ago. DIAGNOSIS:Bilateral recurrent inguinal hernia INTERVENTIONS:: TAPP was performed. There was a fibrous structure linking the left and right hernia orifice and a muscular structure in the hernia sac on the left. We noticed that the muscular structure was a vagina and fibrous structure was the salpinx, and we diagnosed the patient with PMDS. Supravaginal hysterectomy and right salpingectomy were performed. After that a preperitoneal mesh repair was performed for bilateral inguinal hernia. OUTCOMES:Histologically, the diagnosis was confirmed as PMDS. The patient had an uneventful recovery. CONCLUSION:This case is the first case of bilateral recurrent inguinal hernia due to PMDS managed by TAPP.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Tanabe K,Mori S,Kita Y,Wada M,Kenji B,Itaru O,Takaaki A,Satoshi I,Kosei M,Natsugoe S

doi

10.1097/MD.0000000000019079

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

e19079

issue

7

eissn

0025-7974

issn

1536-5964

pii

00005792-202002140-00036

journal_volume

99

pub_type

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