Androgen insensitivity syndrome: a case report

This report refers to a rare case of complete androgen insensitivity syndrome that had presented at the age of 35 years with complaint of abdominal mass, primary amenorrhea and infertility to Jimma University Hospital. A well-developed breast with absence of axillary and pubic hair was seen on examination. There was also an abdominal mass arising from the pelvis occupying the hypogastric and right iliac region. Additionally, there was a reducible mass of 5 by 4 c.m at the left inguinal region. She had a normal female external genitalia with blindly ending vagina of about 4 c.m long. Laporotomy was done and a grayish white solid mass of 20 by 10 c.m. was found and removed. The reducible mass in the left inguinal canal was also removed surgically which was followed by herinorraphy. There were no ovaries or any other internal female genital organs identifiable. Histopathology of the tumor showed features of seminoma while the mass in the inguinal canal was consistent with testis. Literature review on diagnosis, differential diagnosis and management of androgen insensitivity syndrome was made and discussed. This is the first case report of androgen insensitivity syndrome (AIS) in an Ethiopian patient.