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Androgen insensitivity syndrome diagnosed in an elderly patient during a strangulated inguinal hernia repair.

Arslan Y, Altintoprak F, Ozkan OV, Yalkın O, Gunduz Y, Kahyaoglu Z - Int J Surg Case Rep (2013)

Bottom Line: Androgen insensitivity syndrome (AIS), the most frequent cause of male pseudohermaphroditism.Making a first diagnosis after the 5th decade is extremely rare.While AIS can be diagnosed in early adulthood, cases might not bediagnosed until the patient is of advanced age.

View Article: PubMed Central - PubMed

Affiliation: Sakarya University Research and Educational Hospital, Department of General Surgery, Turkey.

No MeSH data available.


Related in: MedlinePlus

Microscopic appearance of the excised mass (testicular tissue) showing tubular structures composed of vascular stroma and Leydig cells (H&E 10×).
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fig0010: Microscopic appearance of the excised mass (testicular tissue) showing tubular structures composed of vascular stroma and Leydig cells (H&E 10×).

Mentions: On exploring the inguinal region, the cord structure was similar to the male anatomy and a strangulated indirect inguinal hernia was diagnosed. When a herniotomy was performed, dark, non-ischemic omentum was observed in the hernia sac. The omentum was reduced into the abdomen and high ligation was performed. Given the male anatomical appearance, a detailed exploration showed a solid 2 × 3-cm mass (Fig. 1) adhering to the medial wall of the inguinal canal distally; this mass was excised. The patient's postoperative recovery was uneventful and she was discharged on the second day. Histopathologically, the excised mass was testicle tissue (Fig. 2).


Androgen insensitivity syndrome diagnosed in an elderly patient during a strangulated inguinal hernia repair.

Arslan Y, Altintoprak F, Ozkan OV, Yalkın O, Gunduz Y, Kahyaoglu Z - Int J Surg Case Rep (2013)

Microscopic appearance of the excised mass (testicular tissue) showing tubular structures composed of vascular stroma and Leydig cells (H&E 10×).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3860045&req=5

fig0010: Microscopic appearance of the excised mass (testicular tissue) showing tubular structures composed of vascular stroma and Leydig cells (H&E 10×).
Mentions: On exploring the inguinal region, the cord structure was similar to the male anatomy and a strangulated indirect inguinal hernia was diagnosed. When a herniotomy was performed, dark, non-ischemic omentum was observed in the hernia sac. The omentum was reduced into the abdomen and high ligation was performed. Given the male anatomical appearance, a detailed exploration showed a solid 2 × 3-cm mass (Fig. 1) adhering to the medial wall of the inguinal canal distally; this mass was excised. The patient's postoperative recovery was uneventful and she was discharged on the second day. Histopathologically, the excised mass was testicle tissue (Fig. 2).

Bottom Line: Androgen insensitivity syndrome (AIS), the most frequent cause of male pseudohermaphroditism.Making a first diagnosis after the 5th decade is extremely rare.While AIS can be diagnosed in early adulthood, cases might not bediagnosed until the patient is of advanced age.

View Article: PubMed Central - PubMed

Affiliation: Sakarya University Research and Educational Hospital, Department of General Surgery, Turkey.

No MeSH data available.


Related in: MedlinePlus