A Case of Hernia Uteri Inguinalis in Persistent Müllerian Duct Syndrome

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  • Müller管遺残症候群患者に発症した鼠径ヘルニア子宮嵌頓の1例
  • 症例 再々発鼠径ヘルニアとの鑑別が困難であった鼠径部脂肪肉腫の1例
  • ショウレイ サイサイハツ ソケイ ヘルニア ト ノ カンベツ ガ コンナン デ アッタ ソケイブ シボウ ニクシュ ノ 1レイ
  • A Case of Liposarcoma Difficult to Differentiate from Re-reccurent Inguinal Hernia
  • A Case of Hernia Uteri Inguinalis in Persistent M^|^uuml;llerian Duct Syndrome

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Abstract

Persistent Müllerian duct syndrome is a rare disorder of males in whom Müllerian duct structures such as uterine tube, uterus, and upper part of vagina persist presumably owing to lack and/or failure of fatal Sertoli cells to secrete Müllerian regression factor. The patient was a 68-year-old man who was pointed out having left inguinal hernia by CT. His subjective symptom was only swelling of the inguinal region. There was previous history of undergoing surgery for right inguinal hernia in his thirties. Opening of the inguinal canal disclosed a prolapsed tumor, which looked like a uterus, from the abdominal cavity. When the tumor was ablated and elevated, the testis came to prolapse from inside of the scrotum, which was pulled by deferential and testicular arteries and veins neighboring the tumor. The hernia orifice was too small to reduce the tumor. The deferential and testicular arteries and veins could be preserved, and the tumor was decided to be resected. The parts equivalent to the cervix of the uterus to the upper portion of the vagina continued to the dorsal aspect of the urinary bladder. After the tumor resection, posterior wall was reinforced according to usual manner. The resected specimen was bicornate like tumor accompanying by a myoma and a uterine tube like structure. They were histologically diagnosed as uterus and uterine tube.

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