Bilateral Inguinal Hernia Containing a Rudimentary Uteri, Ovaries and Tubes in a Woman with Primary Amenorrhea

Abstract Background Androgen insensitivity syndrome is a rare X-linked disorder of sex development, caused by mutations in the androgen receptor. In this case, a 13-year-old child, reared as female, presenting for primary amenorrhea, was diagnosed with complete androgen insensitivity syndrome. Case presentation A 13-year-old Caucasian child, reared as female, presents with primary amenorrhea. Physical examination revealed female appearance and a short vagina with blind-ended pouch. Laboratory examination showed high levels of testosterone and anti-Müllerian hormone; uterus and ovaries were absent. Karyotype confirmed a 46,XY pattern. Deoxyribonucleic acid analysis of the androgen receptor gene revealed a homozygous mutation p.R856C in exon 7. Gender was assigned as female, and she was started on hormonal therapy and underwent gonadectomy. Conclusion Androgen insensitivity syndrome comprises a large spectrum of presentations. High index of suspicion is needed. Investigation of girls with bilateral inguinal hernia is critical.

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XY female with complete androgen insensitivity syndrome with bilateral inguinal hernia

International Surgery Journal ◽

10.18203/2349-2902.isj20211325 ◽

2021 ◽

Vol 8 (4) ◽

pp. 1353

Author(s):

Aafrin Shabbir Baldiwala ◽

Vipul C. Lad

Keyword(s):

Inguinal Hernia ◽

External Genitalia ◽

Androgen Insensitivity Syndrome ◽

Primary Amenorrhea ◽

Normal Female ◽

Bilateral Inguinal Hernia ◽

Complete Androgen Insensitivity Syndrome ◽

Androgen Insensitivity ◽

Primary Amenorrhoea ◽

The Individual

The complete androgen insensitivity syndrome (AIS), previously called testicular feminization syndrome, is an X-linked recessive rare disorder. AIS is the most common male pseudohermaphrodite. Patient has 46, XY chromosome and testis. The individual is phenotypically female and genotypically male. Antimullerian hormone is produced by the testis. So, uterus and fallopian tubes do not develop in fetus. The fault lies with androgen receptors which are mutated. Male differentiation of external genitals does not occur. The individuals are reared as girls and the condition is suspected when the individual is evaluated for primary amenorrhea, infertility or when unilateral/bilateral inguinal hernia is diagnosed in girls. This disorder includes a spectrum of changes ranging from male infertility to completely normal female external genitalia in a chromosomally male individual. These cases need proper diagnosis and appropriate management. We report this case for its interesting presentation. The patient is a 23 year old female, presented with bilateral labial swellings and primary amenorrhoea. Subsequent investigations were done which revealed that the patient is a genetically male with absence of female internal genitalia but presence of testes. Proper psychological support was also given to her, which is more important.

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Androgen Insensitivity Syndrome (AIS): A Case History

Ibrahim Cardiac Medical Journal ◽

10.3329/icmj.v4i1.52875 ◽

2015 ◽

Vol 4 (1) ◽

pp. 33-37

Author(s):

Hazera Khatun ◽

Tarannum Rahman

Keyword(s):

Inguinal Hernia ◽

Sex Chromosome ◽

Pubic Hair ◽

Androgen Insensitivity Syndrome ◽

Primary Amenorrhea ◽

Bilateral Inguinal Hernia ◽

School Girl ◽

Complete Androgen Insensitivity Syndrome ◽

Androgen Insensitivity ◽

Medical College

Androgen Insensitivity Syndrome (AIS) is an inherited X-linked recessive disease with a mutation in the Androgen Receptor (AR) gene resulting in - functioning of Y sex chromosome and abnormality on X sex chromosome, where affected individuals have male chromosomes and male gonads with complete or partial feminization of the external genitals. Recently a case of complete Androgen Insensitivity Syndrome (CAIS) is reported at Shaheed Suhrawardy Medical College, Dhaka. A 15 years old school girl was admitted with primary amenorrhea with bilateral inguinal hernia. Diagnosis of complete AIS is confirmed by discovering an adult male testosterone level, 46, XY karyotype, absence of axillary and pubic hair and a shallow vagina, with no cervix or uterus. Ibrahim Cardiac Med J 2014; 4(1): 33-37

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Left-sided Amyand's hernia in an infant with bilateral inguinal hernia

Journal of Pediatric Surgery Case Reports ◽

10.1016/j.epsc.2021.101832 ◽

2021 ◽

pp. 101832

Author(s):

Tomohiro Kurahachi ◽

Naruki Higashidate ◽

Naoki Hashizume ◽

Suguru Fukahori ◽

Shinji Ishii ◽

...

Keyword(s):

Inguinal Hernia ◽

Amyand’S Hernia ◽

Bilateral Inguinal Hernia

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Bilateral inguinal hernia repair: laparoscopic or open approach?

Hernia ◽

10.1007/s10029-010-0736-2 ◽

2010 ◽

Vol 15 (1) ◽

pp. 15-18 ◽

Cited By ~ 39

Author(s):

X. Feliu ◽

R. Clavería ◽

P. Besora ◽

J. Camps ◽

E. Fernández-Sallent ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Open Approach ◽

Bilateral Inguinal Hernia

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Massive bilateral inguinal hernia comprising bladder carcinoma: A case report

Journal of Clinical Urology ◽

10.1177/2051415818807525 ◽

2018 ◽

pp. 205141581880752

Author(s):

Verónica Hernández-Nájera ◽

Eduardo Barrera-Juárez ◽

Roberto González-Oyervides

Keyword(s):

Case Report ◽

Inguinal Hernia ◽

Bladder Carcinoma ◽

Bilateral Inguinal Hernia

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Bilateral inguinal hernia repair

Hernia ◽

10.1007/s10029-011-0860-7 ◽

2011 ◽

Vol 15 (6) ◽

pp. 713-713

Author(s):

V. Wiwanitkit

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Bilateral Inguinal Hernia

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P035 EMERGENCY BILATERAL GORIN HERNIA REPAIR IN UNILATERAL COMPLICATED INGUINAL HERNIA REAPIR WITH CONCOMITNAT CONTRALATERAL HERNIA. COHORTS COMPARATIVE OUTCOMES ANALYSIS USING PROPENSITY SCORE MATCHING

British Journal of Surgery ◽

10.1093/bjs/znab395.033 ◽

2021 ◽

Vol 108 (Supplement_8) ◽

Author(s):

Alejandro Bravo-Salva ◽

Francisco Rómulo Ochoa-Segarra ◽

Ana María Gonzálz-Castillo ◽

Joan Sancho-Insenser ◽

Miguel Pera-Roman ◽

...

Keyword(s):

Inguinal Hernia ◽

Propensity Score ◽

Hernia Repair ◽

Hospital Stay ◽

Propensity Score Matching ◽

Inguinal Hernia Repair ◽

Morbidity And Mortality ◽

High Morbidity ◽

Bilateral Inguinal Hernia ◽

Bilateral Hernia

Abstract Aim Aim of our study was to analyze outcomes and safety of bilateral inguinal hernia repair in unilateral groin complicated hernia with contralateral groin hernia. Material and Methods Retrospective cohorts study following STROBE statements on a prospective Emergency Surgery Department database. Inclusion criteria were: patients with emergency hernia repair from 2008 to 2018, 18 years old. Unilateral or bilateral inguinal hernia repair without other abdominal wall hernia repairs. Comparative analysis between two group unilateral hernia repair (UH) vs bilateral hernia repair (BH) those patients with unilateral complicated inguinal hernia with contralateral inguinal hernia. Propensity score matching (PSM) between groups was performed to eliminate statistically groups differences. Outcomes between groups were analyzed with special attention to postoperative morbimortality and hernia recurrence. Results 341 patients were included, 38(11.1%) were performed bilateral hernia repair. Groups differences were: higher rate of inguinoscrotal inguinal hernia (36.8 vs 22.8), prophylactic antibiotics use (94.7 vs 81.8) and general Anesthesia use (52.6% vs 50.2%). General high rates of morbidity and mortality were observed (5.9% and 41.9) and 22 (6.5%) hernia repair recurrence were detected. After PSM no differences between surgery outcomes groups were observed with similar morbidity, recurrence or hospital stay. Conclusions Emergency inguinal hernia repair has high morbidity and mortality rates in our experience. Emergency Bilateral inguinal hernia repair in context of hernia complication seems safe without recurrence or hospital stay increase.

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Totally Extraperitoneal (TEP) Repair for Bilateral Inguinal Hernia in Female (EHS, Right PL2, Left PL1)

10.1007/978-981-16-3300-3 ◽

2021 ◽

Author(s):

Pradeep Chowbey ◽

◽

Rajesh Khullar ◽

Anil Sharma ◽

Manish Baijal ◽

...

Keyword(s):

Inguinal Hernia ◽

Bilateral Inguinal Hernia ◽

Tep Repair ◽

Totally Extraperitoneal

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