Open AccessA rare case report of bilateral recurrent inguinal hernia due to persistent Müllerian duct syndrome treated by transabdominal preperitoneal repair
Author(s) -
Kan Tanabe,
Shinichiro Mori,
Yoshiaki Kita,
Mitsuru Wada,
Kenji Baba,
Itaru Omoto,
Takaaki Arigami,
Satoshi Iino,
Kosei Maemura,
Shoji Natsugoe
Publication year - 2020
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000019079
Subject(s) - medicine , groin , inguinal hernia , surgery , inguinal canal , hernia
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.