Persistent Müllerian Duct Syndrome with Inguinal Uterine Hernia: A Case Report and Literature Review

Zhang B, Wang M and Zheng P

Department of General Surgery, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine/Sichuan
Hospital of Traditional Chinese Medicine, China
Department of Gastrointestinal Surgery, Affiliated Hospital of University of Electronic Science and Technology,
China

^*Correspondance to: Zheng P 

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Abstract:

Inguinal uterine hernia is a rare male pseudo androgynous syndrome characterized by the presence of Müllerian ducts and the uterus, cervix, and fallopian tubes in a male with a 46, XY karyotype; it is a type of persistent Müllerian duct syndrome. Case Presentation: A 40-year-old male presented with a left inguinal mass, and an inguinal ultrasound was suggestive of a left-sided incarcerated hernia. On laparoscopic exploration, the patient was found to have a uterus, cervix, and vagina in the abdominal cavity. Discussion: Persistent Müllerian Duct Syndrome (PMDS) is caused by defects in the Anti-Müllerian Hormone (AMH); it is not easily diagnosed, and abdominal CT, MRI, and laparoscopy should be combined to achieve a comprehensive diagnosis. The main goal of treatment is to prevent cancer and to preserve the reproductive function of the patient as much as possible. Conclusion: PMDS should be strongly suspected in patients with inguinal hernias combined with cryptorchidism, and patient reproductive function, the surgical risks, and the possible complications should be fully evaluated to develop a comprehensive treatment plan before performing surgery.

Keywords:

Persistent Müllerian duct syndrome; Inguinal uterine hernia; Laparoscopic exploration; Literature review.

Cite the Article:

Zhang B, Wang M, Zheng P. Persistent Müllerian Duct Syndrome with Inguinal Uterine Hernia: A Case Report and Literature Review. Clin Case Rep Int. 2025; 9: 1744..