دوره 12، شماره 1 - ( 11-1404 )
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Background: Mature cystic teratomas (dermoid cysts) are common benign ovarian tumors; however, their presentation within an inguinal hernia is exceedingly rare. When accompanied by features of a disorder of sex development (DSD) and coexisting Müllerian–renal anomalies, diagnostic evaluation becomes significantly more complex.
Case Presentation: We report a 30-year-old nulligravida with an eight-year history of primary
infertility and a progressively enlarging left groin mass. Physical examination showed short stature, webbed neck, shield chest, and external genital findings consistent with a DSD, including a 3‑cm phallus‑like structure with a preputial hood. Imaging revealed a unicornuate uterus and a large adnexal cyst herniating into the inguinal canal. Computed Tomography )CT( urogram demonstrated a malrotated, non‑functioning left kidney. During laparotomy and inguinal exploration, the hernia sac contained the left ovary, a broad‑ligament cyst, and a rudimentary uterine horn. Histopathology confirmed a mature cystic teratoma. Postoperative recovery was uneventful, and the patient received multidisciplinary counseling.
Conclusion: This rare case highlights the need to consider underlying DSD and congenital Müllerian–renal anomalies when encountering inguinal adnexal herniation in individuals presenting with infertility or atypical phenotypic features. Accurate anatomical assessment and multidisciplinary management are essential for optimal care.
Case Presentation: We report a 30-year-old nulligravida with an eight-year history of primary
infertility and a progressively enlarging left groin mass. Physical examination showed short stature, webbed neck, shield chest, and external genital findings consistent with a DSD, including a 3‑cm phallus‑like structure with a preputial hood. Imaging revealed a unicornuate uterus and a large adnexal cyst herniating into the inguinal canal. Computed Tomography )CT( urogram demonstrated a malrotated, non‑functioning left kidney. During laparotomy and inguinal exploration, the hernia sac contained the left ovary, a broad‑ligament cyst, and a rudimentary uterine horn. Histopathology confirmed a mature cystic teratoma. Postoperative recovery was uneventful, and the patient received multidisciplinary counseling.
Conclusion: This rare case highlights the need to consider underlying DSD and congenital Müllerian–renal anomalies when encountering inguinal adnexal herniation in individuals presenting with infertility or atypical phenotypic features. Accurate anatomical assessment and multidisciplinary management are essential for optimal care.
نوع مطالعه: گزارش مورد |
موضوع مقاله:
Obstetrics and Gynecology
دریافت: 1404/11/24 | پذیرش: 1405/2/5 | انتشار: 1405/2/15
دریافت: 1404/11/24 | پذیرش: 1405/2/5 | انتشار: 1405/2/15
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