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<p>Inguinal hernia is rare in females, and involvement of ovaries or Müllerian structures is exceptionally uncommon. Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome presents with congenital absence of the uterus and upper vagina despite normal ovarian development, and may coexist with renal or skeletal defects. We describe a rare Type-2 MRKH case presenting with bilateral inguinal hernias containing ovaries, identified unexpectedly during surgery for a presumed right inguinal hernia. Laparoscopic transabdominal preperitoneal repair was completed successfully while preserving both ovaries. The case underscores the need for careful assessment of inguinal swellings in females and supports the diagnostic and therapeutic value of laparoscopy in atypical hernia presentations.</p>

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Mayer–Rokitansky–Küster–Hauser Syndrome Presenting as Inguinal Hernia in a Female: A Rare Surgical Image Insight

  • 期刊论文

  • 发表日期：

    2026年4月25日

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  • Reyaz Ansari,
  • Utpal De

摘要

Inguinal hernia is rare in females, and involvement of ovaries or Müllerian structures is exceptionally uncommon. Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome presents with congenital absence of the uterus and upper vagina despite normal ovarian development, and may coexist with renal or skeletal defects. We describe a rare Type-2 MRKH case presenting with bilateral inguinal hernias containing ovaries, identified unexpectedly during surgery for a presumed right inguinal hernia. Laparoscopic transabdominal preperitoneal repair was completed successfully while preserving both ovaries. The case underscores the need for careful assessment of inguinal swellings in females and supports the diagnostic and therapeutic value of laparoscopy in atypical hernia presentations.