Introduction:

Abdominal wall hernia is a frequent pathology, it is estimated that the prevalence is close to 5% in the general population; the most frequent presentation is of the inguinal type, close to 70% of the total. Mayer-Rokitansky-Küster-Hauser syndrome is a rare congenital anomaly of the genital tract, its etiology is unknown. It generally presents as primary amenorrhea in adolescent women, with normal external genitalia and growth. It can associate other alterations, especially at the genitourinary level.

Clinical case:

A 25-year-old female patient, with a pathological history of primary amenorrhea and a surgical history of left inguinal hernioplasty, with a history of protrusion in the right inguinal region of three years of evolution, exacerbated by physical exertion. On physical examination, a protrusion was observed in the right inguinal region approximately 5 cm in diameter with Valsalva, without color or inflammatory changes, on auscultation he presented normal bowel sounds, on palpation he presented a mass in the right iliac fossa of a soft, depressible consistency, painful, reducible. In the gynecological examination, a patient with a female phenotype and normal secondary sexual characteristics presented symmetrical labia majora and minora, a patent vaginal canal. The clinical diagnosis was uncomplicated right inguinal hernia, surgical treatment was decided, for which elective surgery was scheduled. The postoperative diagnosis was right inguinal hernia with the presence of uterus, fallopian tube and ipsilateral ovary plus Mayer-Rokitansky-Küster-Hauser syndrome.

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