Eur J Pediatr Surg 2010; 20(3): 194-195
DOI: 10.1055/s-0029-1242729
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© Georg Thieme Verlag KG Stuttgart · New York

Persistent Mullerian Duct Syndrome: A Case-Based Algorithm

T. Meyer1 , P. Adam2 , B. Höcht1
  • 1Pediatric Surgery Unit, Department of Surgery, Würzburg, Germany
  • 2Julius-Maximilians-University, Department of Pathology, Würzburg, Germany
Further Information

Publication History

Publication Date:
17 December 2009 (online)

Introduction

Persistent Mullerian duct syndrome (PMDS) is a rare, autosomal recessive disorder. It is a form of male disorder of sexual differentiation in which Mullerian duct structures are present in male phenotypes and 46XY karyotypes. Affected individuals have a uterus, tubes, cervix, and vagina [1] [2] [3] [4]. Uterus and tubes are usually discovered during inguinal hernia surgery or diagnostic laparoscopy for impalpable testis. A testis and the Mullerian derivatives may be found in an inguinal hernia, a condition known as hernia uteri inguinalis. The contralateral testis may also have moved into the hernia, a condition known as transverse testicular ectopia [5] [6].

References

  • 1 Fernandes ET, Hollabaugh RS, Young JA. et al . Persistent Müllerian Duct Syndrome.  Urology. 1990;  36 516-518
  • 2 Wudy SA, Töpke B, Homoki J. et al . Syndrom der persistierenden Müller-Strukturen.  Monatsschr Kinderheilkd. 1997;  145 230-234
  • 3 Rizk DEE, Ezimokhai M, Hussein AS. et al . Persistent Mullerian duct syndrome.  Arch Gynecol Obstet. 1998;  261 105-107
  • 4 Diaz A, Carrillo A, Bauer M. et al . Persistent Mullerian duct syndrome in an infant with initial bilateral cryptochidism.  Int Pediatr. 2000;  15 41-43
  • 5 Mahfouz EH, Issa MA, Farag TI. et al . Persistent Mullerian duct syndrome: Report of two boys with associated crossed testicular ectopia.  J Pediatr Surg. 1990;  25 692-693
  • 6 Boleken ME, Kaya M, Güran S. et al . Persistent Mullerian duct syndrome with transverse testicular ectopia.  Int Urol Nephrol. 2007;  DOI 10.1007/s11255-006-9163-9 
  • 7 Vandersteen DR, Chaumeton AY, Ireland K. et al . Surgical management of persistent Muellerian duct syndrome.  Urology. 1997;  49 941-945
  • 8 Josso N, Belville C, Clement N. et al . AMH and AMH receptor defects in persistent Müllerian duct syndrome.  Human Reproduction Update. 2005;  11 351-356
  • 9 Marcus KA, Halbertsma FJJ, Picard JY. et al . A visual pitfall: persistent Mullerian duct syndrome (PMDS).  Acta Pediatrica. 2008;  97 129-131

Correspondence

PD Dr. Thomas Meyer

Pediatric Surgery Unit

Department of Surgery

Oberdürrbacher Straße 6

97080 Würzburg

Germany

Phone: +49/0/931 201 38318

Fax: +49/0/931 201 38899

Email: meyer_t@chirurgie.uni-wuerzburg.de

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