18 years old patient phenotypically female who did not attain menarche with a history of bilateral swellings in the inguinal region was admitted into Gandhi Medical College Hospital ,Secunderabad for evaluation . Clinically moderately built patient with normal development of breast, absent axillary and pubic hair growth. Bilateral oval swellings of 4x2 cms size present over inguinal regions, mobile , non reducible , firm in consistency , non-tender with well defined margins . Female type external genitalia - labia majora ,labia minora , Clitoris were present with absent vaginal introitus and uterus .