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Persistent Mullerian duct syndrome with bilateral abdominal testis: surgical approach and review of the literature

, : Persistent Mullerian duct syndrome with bilateral abdominal testis: surgical approach and review of the literature. Journal of Pediatric Urology 1(6): 423-427

We present two cases of persistent Mullerian duct syndrome (PMDS) with bilateral intra-abdominal testes and review the world's literature with special attention to diagnosis and surgical management. Two consecutive cases of PMDS with bilateral intra-abdominal testes from our institution are presented with detailed descriptions of the presentation, physical examination, laboratory profiles, surgical findings, and treatment undertaken. Follow-up at 1 year postoperatively is included. Bilateral orchiopexy was accomplished in both the cases. In one case this was possible after division of the persistent Mullerian structures in the midline to achieve testicular mobility. In a subsequent case, splitting of the Mullerian complex did not provide adequate mobilization and microvascular autotransplantation was performed with an excellent surgical outcome. Bilateral intra-abdominal testes in the setting of persistent Mullerian duct syndrome are a rare entity and controversy remains as to the ideal surgical treatment. Our two cases represent the first reported examples of open single-stage bilateral orchiopexy with division of the Mullerian complex and preservation of the vas deferens (1-year-old boy) and microvascular autotransplantation (5-year-old boy).


PMID: 18947583

DOI: 10.1016/j.jpurol.2005.03.011

Other references

Holloway, P.W.; Wakil, S.J., 1970: Requirement for reduced diphosphopyridine nucleotide-cytochrome b5 reductase in stearly coenzyme A desaturation. Journal of Biological Chemistry 245(7): 1862-1865

Faganel Kotnik, B.; Dolzan, V.; Grabnar, I.; Jazbec, J., 2010: Relationship of the reduced folate carrier gene polymorphism G80A to methotrexate plasma concentration, toxicity, and disease outcome in childhood acute lymphoblastic leukemia. Leukemia & Lymphoma 51(4): 724-726

Leonardsen, A-Chatrin.Linqvist.; Jelsness-Jørgensen, L-Petter., 2017: Patient experiences and predictors in an acute geriatric ward: A cross-sectional study. To investigate older peoples' experiences with acute hospital treatment and care, and variables that may influence these experiences. In the Nordic countries, research on older peoples' experiences with hospital care is sparse. Participa...

Millar, G.A.; Hardin, J.A.; Johnson, L.R.; Gall, D.G.ant, 2002: The role of PI 3-kinase in EGF-stimulated jejunal glucose transport. Epidermal growth factor (EGF) rapidly increases jejunal glucose transport. Signal transduction mechanisms mediating EGF-induced alterations in jejunal glucose transport remain to be determined. New Zealand White rabbit (1 kg) jejunal tissue was st...

Paul, R.; Borah, A., 2016: The potential physiological crosstalk and interrelationship between two sovereign endogenous amines, melatonin and homocysteine. The antioxidant melatonin and the non-proteinogenic excitotoxic amino acid homocysteine (Hcy) are very distinct but related reciprocally to each other in their mode of action. The elevated Hcy level has been implicated in several disease pathologi...

Sefr, R.; Ochmann, J.; Penka, I.; Kozumplík, L.; Vrastyak, J.; Necas, F.; Olivero, R., 1997: Repeat laparoscopy in the management of biliary leaks after laparoscopic cholecystectomy. The incidence of bile leaks increased with the introduction of laparoscopic cholecystectomy in surgery. The present paper is focused on biliary leaks-their diagnosis and treatment in a large group of patients, with special emphasis on a miniinvasi...

Martinez Saez, S.; Pedraza Olivera, R.M.; Leon Gonzalez, M.; Gonzalez Perez, C.E.; Guevara Viera, G., 2005: Influence of the donor animal on the in vitro gas production with the use of voided bovine faeces. The objective of this research was to assess the influence of the animal donor during the implementation of the in vitro gas production technique with the use of voided bovine faeces. The ruminal fluid was substituted by faeces obtained within les...

Reiner, A.; Del Mar, N.; Meade, C.A.; Yang, H.; Dragatsis, I.; Zeitlin, S.; Goldowitz, D., 2001: Neurons lacking huntingtin differentially colonize brain and survive in chimeric mice. To determine whether neurons lacking huntingtin can participate in development and survive in postnatal brain, we used two approaches in an effort to create mice consisting of wild-type cells and cells without huntingtin. In one approach, chimeras...

Cuoghi, O.Aparecido.; Bosco, A.Francisco.; de Mendonça, M.Rogério.; Tondelli, P.Marcelo.; Miranda-Zamalloa, Yésselin.Margot., 2010: Multidisciplinary treatment of a fractured root: a case report. To describe the orthodontic, periodontal and prosthetic management of a case with a 3 mm root fracture below the crest of the alveolar bone. The root was extruded and periodontal surgery carried out to improve aesthetics and dental function. A mul...

Gulati, Ramesh, D., 2007: Ten years of the journal, Aquatic Ecology: an appraisal. Aquatic Ecology 41(2): 149-151