Learning objectives: Complete Androgen Insensitivity (XY women) is present in 08 % to 2, 4 % in all phenotypic female infants operated for inguinal hernia but this condition sometimes is not suspected by the surgeon . Various siblings may be affected as it is a genetic recessive condition.
Case information: Three sisters were operated in their infancy (each of them by a different surgeon in the same institution) for incarcerated inguinal hernia. When teens a consultation was required due to primary amenorrhea. It was then discovered that the three sisters had CAIS. The family presented a claim against the three intervening surgeons for no timely diagnosis. (Gonadectomy is an indication to prevent malignancies
Discussion: Hernia repair is the most common procedure in pediatric surgery being performed by residents in training and experimented surgeons. Every time that a CAIS is found it looks like an unexpected surprise that contradicts the mentioned incidence It has received little attention in the literature . Considering how many hernias shall operate a pediatric surgeon during his/her career is important remembering that condition.. Attention must be drawn to the family backgrounds , and perform proper inspection of the gonad if incarcerated (fallopian tubes must be seen). Previous assessment by measuring the length of the vagina has bees proposed as well as the benefits of laparoscopic intervention that allows full inspection
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