Ozturk Hayrettin, Eroglu Muzaffer, Ozturk Hulya, Uzunlar Ali Kemal, Okur Hanifi
Department of Pediatric Surgery, Abant Izzet Baysal University, Medical School, Bolu, Turkey.
Fetal Pediatr Pathol. 2007 Jan-Feb;26(1):41-6. doi: 10.1080/15513810701394660.
Persistent Mullerian duct syndrome (PMDS) with transverse testicular ectopia (TTS) is a very rare pathological association, often discovered during repair for inguinal hernia or cryptorchidism. We present 2 cases with PMDS associated with TTS and discuss the diagnosis and management. A hysterectomy was performed, with resection of the underdeveloped fallopian tubes. Both gonads wereplaced into subdartos pouches in each scrotum by the transseptal approach. The diagnosis of PMDS was confirmed postoperatively by genetic and hormonal investigations. Chromosome analysis revealed 46,XY. Pathological findings demonstrated the immature testes and the immature uterus.
持续性苗勒管综合征（PMDS）合并睾丸横过异位（TTS）是一种非常罕见的病理关联，常在腹股沟疝修补术或隐睾症手术修复过程中被发现。我们报告2例PMDS合并TTS的病例，并讨论其诊断和治疗。实施了子宫切除术，并切除了发育不全的输卵管。通过经中隔入路将双侧性腺分别置于每个阴囊的肉膜囊内。术后通过基因和激素检查确诊为PMDS。染色体分析显示为46,XY。病理检查结果显示为未成熟睾丸和未成熟子宫。
