Resumen

MOLINARES-PEREZ, Darit A. et al. Hernia uterine inguinale as an intraoperative diagnosis of male pseudohermaphroditism: case report. Rev. med. Hosp. Gen. Méx. [online]. 2025, vol.88, n.1, pp.41-43.  Epub 23-Mayo-2025. ISSN 2524-177X.  https://doi.org/10.24875/hgmx.23000094.

Persistent Müllerian duct syndrome is a very rare form of pseudohermaphroditism characterized by the presence of structures deriving from persistent Müllerian duct in a patient phenotypically and occasionally genotypically expressed as a normal male. Utero Inguinal Hernias are a rare entity, which in the female population reaches 1% of incidence. However, in the male population, it is directly associated with abnormalities of sexual differentiation. We present the exceptional case of a male patient with no previous diagnosis of intersexuality who is scheduled for a right inguinal repair of a hernia. During the operative management, structures compatible with the uterus, fallopian tubes, and ovaries were identified in the hernial sac. Reduction of the hernial content to the peritoneal cavity was performed and the inguinal defect was resolved with placement of a prosthetic mesh by Lichtenstein technique.

Palabras llave : Inguinal hernia; Disorders of sexual development 46 XY; Male infertility; Herniorrhaphy.

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