Abstract
Hernia uteri inguinalis in male hermaphroditism is rare and there have been only 54 other similar cases in Japan. We present a case of hernia uteri inguinalis in male hermaphroditism. A 52-year-old man was admitted to the hospital because of painful swelling involving the scrotal sac and right inguinal region. Abdominal CT scan and magnetic resonance imaging (MRI) revealed a tumor shadow and intestinal gas extending from the scrotal sac to right inguinal region. The preoperative diagnosis was incarceration of hernia inguinalis of the intestinal tract. Radical operation for hernia inguinalis was performed. Hernia sac contained the sigmoid colon and two ovary-like, two salpinx-like and uterus-like structures were found in the right inguinal canal. Histopathologically, the ovary-like structure was the testis and the uterus-like structure was the urerus. The chromosomes and hormonal examinations were normal.
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