Case report finds rare inguinal hernia complications involving disorders of sex development, suggesting surgeons stay vigilant.
Inguinal hernia associated with disorders of sex development (DSD) is uncommon, and an occurrence further complicated by Sertoli–Leydig cell tumors (SLCTs) is exceedingly rare. A woman underwent surgery for recurrent inguinal hernia. Intraoperatively, the hernia sac contents were identified as adnexal tissue. Postoperative pathological examination revealed a 46,XY DSD with SLCTs. Although rare, hernia surgeons should maintain awareness of these conditions.
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Lin et al. (2026) studied this question.
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