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DOI: 10.1055/s-0029-1242729
© Georg Thieme Verlag KG Stuttgart · New York
Persistent Mullerian Duct Syndrome: A Case-Based Algorithm
Publikationsverlauf
Publikationsdatum:
17. Dezember 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
Telefon: +49/0/931 201 38318
Fax: +49/0/931 201 38899
eMail: meyer_t@chirurgie.uni-wuerzburg.de