[A case of persistent Mullerian duct syndrome diagnosed by laparoscopic examination for impalpable testis].
Persistent mullerian duct syndrome describes a group of patients with a 46 XY karyotype and normal male external genitalia, but internal mullerian structures. A 7-month-old boy presented with a left inguinal hernia, a left undescended testis and a right impalpable testis. Inguinal herniorrhaphy was performed and laparoscopy was done for search of a right impalpable testis and internal genitalia simultaneously. Laparoscopic examination revealed the structure like a mullerian duct remnant along the left spermatic duct in rectovesical fossa and right intra-abdominal testis. The structure like a mullerian duct remnant was not removed to preserve the left spermatic duct. Left orchiopexy and right laparoscopic staged Fowler- Stephens orchiopexy were performed. Chromosomal analysis was 46 XY karyotype and we diagnosed this case as persistent mullerian duct syndrome.
The Department of Urology, Nara Medical University, Japan.
Daisuke
D
Goto
Katsuya
K
Aoki
Kenji
K
Otsuka
Masaomi
M
Kuwada
Katsunori
K
Yoshida
Kiyohide
K
Fujimoto
Yoshihiko
Y
Hirao
D003456:Cryptorchidism / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D010535:Laparoscopy; D008297:Male; D009095:Mullerian Ducts / Q000002:abnormalities*; D056126:Orchiopexy