ஜர்னல் ஆஃப் ஹெல்த் & மெடிக்கல் இன்பர்மேட்டிக்ஸ்

Giant Inguinal Hernia Repair Leading To the Diagnosis of Complete Androgen Insensitivity Syndrome in an Elderly Lady

Abstract

Abhay Y Desai,Dyaneshwar Shirsat,Vishwas D Pai*

Complete androgen insensitivity syndrome (CAIS) is an X linked disorder characterized by lack of mullerian derivatives, absent uterus, normal breast development and sparse or absent axillary and pubic hairs. Mutation in the androgen receptor is the cause for this rare disorder. Classically diagnosis is made when evaluating for primary amenorrhea in a young girl. These patients are at higher risk for development of gonadal malignancy the risk of which increases with increasing age. Bilateral gonadectomy after puberty is recommended. We are presenting a case of CAIS who was diagnosed at the age of 60 years during surgery for giant inguinal hernia.