Female form of persistent Mullerian duct syndrome: A rare case report and review of literature

dc.contributor.authorElmas, Nevra Zehra
dc.contributor.authorEsmat, Habib Ahmad
dc.contributor.authorOsmani, Gulparkha Manalai
dc.contributor.authorOzcan, Busra
dc.contributor.authorKizilay, Fuat
dc.date.accessioned2021-05-03T20:38:23Z
dc.date.available2021-05-03T20:38:23Z
dc.date.issued2020
dc.departmentEge Üniversitesien_US
dc.description.abstractINTRODUCTION: Persistent Mullerian duct syndrome (PMDS) is a rare form of internal male pseudo-hermaphroditism characterized by the presence of rudimentary Mullerian structures in a virilized male often presenting as undescended testes. Thus, each patient diagnosed with undescended testes should promptly be investigated for PMDS because the early diagnosis has direct effects on outcome and prognosis. CASE REPORT: A 26-year-old-male complained of long-standing abdominal pain two years ago and was diagnosed having bilateral undescended testes in the pelvic region. He underwent the orchidopexy about one year ago but, after 5 months of orchidopexy, he first complained of discomfort in the left and then right inguinal region due to an incisional hernia that presumed to have the ovotesticular disorder of sexual development. on the pelvic MRI exam, the Mullerian duct structures were observed and he was diagnosed as having PMDS. DISCUSSION: in this case the patient had bilateral cryptorchidism with testes fixed in the para iliac region with respect to the uterus, indicating the female type of PMDS which is a rare type of PMDS. The case is proven genetically and Mullerian duct remnants have been resected to avoid malignant transformation. CONCLUSION: Persistent Mullerian duct syndrome (PMDS) is a rare finding and may present as long-standing abdominal pain. Each patient diagnosed with undescended testes should promptly be investigated for PMDS. Diagnosis and management aim to preserve fertility and prevent malignant changes. Therefore, familiarity with this rare condition will lead to adequate management and prevention of complications. (C) 2020 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).en_US
dc.identifier.doi10.1016/j.ijscr.2020.10.113en_US
dc.identifier.endpage302en_US
dc.identifier.issn2210-2612
dc.identifier.pmid33190105en_US
dc.identifier.startpage298en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijscr.2020.10.113
dc.identifier.urihttps://hdl.handle.net/11454/70395
dc.identifier.volume77en_US
dc.identifier.wosWOS:000608429800049en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofInternational Journal of Surgery Case Reportsen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPMDSen_US
dc.subjectMullerian ducten_US
dc.subjectMIFen_US
dc.subjectMRIen_US
dc.titleFemale form of persistent Mullerian duct syndrome: A rare case report and review of literatureen_US
dc.typeReview Articleen_US

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