Persistent müllerian structures in infertile male

Perspectives in Pediatric Pathology, Chapter 5. Gonadal Dysgenesis

One of the most challenging areas in pediatric testicular pathology is the appropriate understanding and pathological diagnosis of disorders of sexual development (DSD), and in particular, the issue of gonadal dysgenesis. Here we present the main concepts necessary for their understanding and appropriate classification, with extensive genetic correlations.

Persistent müllerian duct syndrome: report of a case with bilateral cryptorchidism

We report on persistent müllerian duct structures (vagina, uterus, fallopian tubes) in a phenotypically normal white, infertile man with bilateral cryptorchidism. The presence of müllerian structures has been shown during a laparotomy performed because of an accident. The clinical and radio-sonographic findings are presented.

Persistent Mullerian duct syndrome: report of two boys with associated crossed testicular ectopia

Persistent Mullerian duct structures and crossed testicular ectopia were found in two phenotypically normal, unrelated males, with 46,XY karyotype, during routine herniorrhaphy. In each case, the vascular supply to the ectopic testis originated from the appropriate ipsilateral side. The clinical significance and genetic implications of this rare association are discussed.