Kumar Abhay
Consultant Surgeon, Department of General Surgery, Kurji Holy Family Hospital , Kurji, Patna, Bihar, and Visiting Consultant, Bihar Institute of Gastroenterology Yogipur, Kankarbagh, Patna, Bihar, India .
Consultant Laparoscopic and General Surgeon, Department of Minimal Access Surgery, Bihar Institute of Gastroenterology , Yogipur, Kankarbagh, Patna, Bihar, India .
J Clin Diagn Res. 2014 Mar;8(3):162-3. doi: 10.7860/JCDR/2014/6133.4148. Epub 2014 Mar 15.
We are reporting on a 35-year-old male from low socio-economic strata, who presented with a left-sided inguinal hernia. Intraoperatively, a uterus and two fallopian tubes were found in the hernial sac which was adjacent to the two gonads, which received their blood supply partly, along with Mullerian duct remnants (Persitent Mullerian duct Syndrome with Transverse testicular ectopia). The gonads were testes by histological examination, with features of degeneration and fibrosis. Complete excision of the mass was done and mesh hernioplasty was done.The diagnosis of persistent Mullerian duct syndrome with Transverse testicular ectopia was confirmed. Persistent Mullerian duct Syndrome is a rare entity and itís association with Transverse testicular ectopia is even more rare.
我们报告了一名来自社会经济地位较低阶层的35岁男性,他患有左侧腹股沟疝。术中发现疝囊内有一个子宫和两条输卵管,疝囊与两个性腺相邻,性腺部分接受血液供应,同时伴有苗勒管残余(持续性苗勒管综合征伴睾丸横位异位)。经组织学检查,性腺为睾丸,有退化和纤维化特征。对肿块进行了完整切除,并进行了疝修补术。持续性苗勒管综合征伴睾丸横位异位的诊断得到证实。持续性苗勒管综合征是一种罕见的疾病,它与睾丸横位异位的关联更为罕见。