Clinical case with Persistent Müllerian Duct Syndrome

Introduction: Persistent Müllerian Duct Syndrome is a rare inherited disorder characterized by incomplete regression of Müllerian duct structures in an individual with male physical and genetic traits. Objective: To describe the presentation and surgical treatment in a patient with persistent Müller...

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Published in:Revista cubana de medicina militar Vol. 53; no. 3; p. e024056490
Main Authors: Vladimir Miranda Veitía, Junior Vega Jiménez, Javier Mora González, Pedro Antonio Casanova Pérez, Roger Ferrera Calunga, Lisneybi González González
Format: Journal Article
Language:Spanish
Published: ECIMED 01-08-2024
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Summary:Introduction: Persistent Müllerian Duct Syndrome is a rare inherited disorder characterized by incomplete regression of Müllerian duct structures in an individual with male physical and genetic traits. Objective: To describe the presentation and surgical treatment in a patient with persistent Müllerian duct syndrome. Clinical Case: An 18-year-old male patient who attended the general surgery outpatient clinic due to left cryptorchidism, right hydrocele and a synechiae from the penis to the scrotum. During the surgical procedure, the presence of an ovary with a fallopian tube on the left side without the presence of the uterus was confirmed. An oophorectomy with salpingectomy was performed, in addition to a hydrocelectomy on the right side and the release of the penis, leaving it in a functional position. The diagnosis was made early in the patient's life, with no evidence of malignancy during follow-up. Conclusions: The knowledge of general surgeons about persistent Müllerian duct syndrome is limited due to the small number of cases and the variety of presentations. Surgeons should have a high level of suspicion for this syndrome when evaluating individuals with cryptorchidism.
ISSN:1561-3046