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Children with Hernias, Testes, and Female External Genitalia

Children with Hernias, Testes, and Female External Genitalia Abstract Any doctor dealing with infants and children may encounter patients with inguinal hernias. We have seen three young patients with the external characteristics of females, each of whom had inguinal hernias. Subsequently, these children were proved to have testes within their inguinal canals and to have no internal female genitalia. Such cases present multiple problems in management. There is adequate authority for recommending surgical repair of inguinal hernias early in infancy and childhood.* Only approximately 10% of such hernias occur in females. Although most authors state that an ovary and Fallopian tube may be found in the hernial sac of a female child, few of them state the incidence of this finding. Gross1 does not mention it in the 10% of females in his series of more than 8000 cases of inguinal hernia in infants and children. Potts, Riker, and Lewis2 recorded three sliding hernias of the ovary References 1. Gross, R. E.: The Surgery of Infancy and Childhood . Philadelphia, W. B. Saunders Company, 1953. 2. Potts, W. J.; Riker, W. L., and Lewis, J. E.: The Treatment of Inguinal Hernia in Infants and Children , Ann. Surg. 132:566-576 ( (Sept.) ) 1950.Crossref 3. Schneider, R. W.; Van Ommen, R. A., and Hoerr, S. O.: The Hereditary Occurrence of Testes and Absence of Sexual Hair in Amenorrheic Women: A Type of Pseudohermaphroditism , J. Clin. Endocrinol. 12:423-438 ( (April) ) 1952.Crossref 4. Novak, J.: Testicular Tubular Adenoma in 2 Sisters , Am. J. Obst. & Gynec. 45:856-862 ( (May) ) 1943. 5. Bleyer, L. F.: Pseudohermaphroditism: Report of 2 Cases in the Same Family , Am. J. Surg. 76:448-452 ( (Oct.) ) 1948. 6. Ward-McQuaid, J. N., and Lennon, G. G.: Inguinal Hernias, Absence of the Uterus, and Pseudohermaphroditism , Surg. Gynec. & Obst. 90:96-102 ( (Jan.) ) 1950. 7. Weisman, A. I., and Schwarz, A.: Intersexuality Proved by Operation and Microscopic Examination , J. A. M. A. 117:2248-2251 ( (Dec. 27) ) 1941. 8. Goldberg, M. B., and Maxwell, A. F.: Male Pseudohermaphroditism Proved by Surgical Exploration and Microscopic Examination: A Case Report with Speculations Concerning Pathogenesis , J. Clin. Endocrinol. 8:367-379 ( (May) ) 1948. 9. Howard, F. S.: The Surgery of Intersexuals , J. Urol. 65:636-649 ( (April) ) 1951. 10. Moore, K. L.; Graham, M. A., and Barr, M. L.: The Detection of Chromosomal Sex in Hermaphrodites from a Skin Biopsy , Surg. Gynec. & Obst. 96:641-648 ( (June) ) 1953. 11. Barr, M. L.: An Interim Note on the Application of the Skin Biopsy Test of Chromosomal Sex to Hermaphrodites , Surg. Gynec. & Obst. 99:184-186 ( (Aug.) ) 1954. 12. Hamblen, E. C.; Carter, F. B.; Wortham, J. T., and Zanartu, J.: Male Pseudohermaphroditism: Some Endocrinological and Psychosexual Aspects , Am. J. Obst. & Gynec. 61:1-19 ( (Jan.) ) 1951. 13. Wilkins, L.: The Diagnosis and Treatment of Endocrine Disorders in Childhood and Adolescence , Springfield, Ill., Charles C Thomas, Publisher, 1950, pp. 265-278. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Journal of Diseases of Children American Medical Association

Children with Hernias, Testes, and Female External Genitalia

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Publisher
American Medical Association
Copyright
Copyright © 1956 American Medical Association. All Rights Reserved.
ISSN
0096-6916
DOI
10.1001/archpedi.1956.02060020544003
Publisher site
See Article on Publisher Site

Abstract

Abstract Any doctor dealing with infants and children may encounter patients with inguinal hernias. We have seen three young patients with the external characteristics of females, each of whom had inguinal hernias. Subsequently, these children were proved to have testes within their inguinal canals and to have no internal female genitalia. Such cases present multiple problems in management. There is adequate authority for recommending surgical repair of inguinal hernias early in infancy and childhood.* Only approximately 10% of such hernias occur in females. Although most authors state that an ovary and Fallopian tube may be found in the hernial sac of a female child, few of them state the incidence of this finding. Gross1 does not mention it in the 10% of females in his series of more than 8000 cases of inguinal hernia in infants and children. Potts, Riker, and Lewis2 recorded three sliding hernias of the ovary References 1. Gross, R. E.: The Surgery of Infancy and Childhood . Philadelphia, W. B. Saunders Company, 1953. 2. Potts, W. J.; Riker, W. L., and Lewis, J. E.: The Treatment of Inguinal Hernia in Infants and Children , Ann. Surg. 132:566-576 ( (Sept.) ) 1950.Crossref 3. Schneider, R. W.; Van Ommen, R. A., and Hoerr, S. O.: The Hereditary Occurrence of Testes and Absence of Sexual Hair in Amenorrheic Women: A Type of Pseudohermaphroditism , J. Clin. Endocrinol. 12:423-438 ( (April) ) 1952.Crossref 4. Novak, J.: Testicular Tubular Adenoma in 2 Sisters , Am. J. Obst. & Gynec. 45:856-862 ( (May) ) 1943. 5. Bleyer, L. F.: Pseudohermaphroditism: Report of 2 Cases in the Same Family , Am. J. Surg. 76:448-452 ( (Oct.) ) 1948. 6. Ward-McQuaid, J. N., and Lennon, G. G.: Inguinal Hernias, Absence of the Uterus, and Pseudohermaphroditism , Surg. Gynec. & Obst. 90:96-102 ( (Jan.) ) 1950. 7. Weisman, A. I., and Schwarz, A.: Intersexuality Proved by Operation and Microscopic Examination , J. A. M. A. 117:2248-2251 ( (Dec. 27) ) 1941. 8. Goldberg, M. B., and Maxwell, A. F.: Male Pseudohermaphroditism Proved by Surgical Exploration and Microscopic Examination: A Case Report with Speculations Concerning Pathogenesis , J. Clin. Endocrinol. 8:367-379 ( (May) ) 1948. 9. Howard, F. S.: The Surgery of Intersexuals , J. Urol. 65:636-649 ( (April) ) 1951. 10. Moore, K. L.; Graham, M. A., and Barr, M. L.: The Detection of Chromosomal Sex in Hermaphrodites from a Skin Biopsy , Surg. Gynec. & Obst. 96:641-648 ( (June) ) 1953. 11. Barr, M. L.: An Interim Note on the Application of the Skin Biopsy Test of Chromosomal Sex to Hermaphrodites , Surg. Gynec. & Obst. 99:184-186 ( (Aug.) ) 1954. 12. Hamblen, E. C.; Carter, F. B.; Wortham, J. T., and Zanartu, J.: Male Pseudohermaphroditism: Some Endocrinological and Psychosexual Aspects , Am. J. Obst. & Gynec. 61:1-19 ( (Jan.) ) 1951. 13. Wilkins, L.: The Diagnosis and Treatment of Endocrine Disorders in Childhood and Adolescence , Springfield, Ill., Charles C Thomas, Publisher, 1950, pp. 265-278.

Journal

A.M.A. Journal of Diseases of ChildrenAmerican Medical Association

Published: Jun 1, 1956

References