Department of Urology, Johns Hopkins Medical Institution, Baltimore, MD, USA.
Urology. 2011 Dec;78(6):1414-6. doi: 10.1016/j.urology.2011.04.012. Epub 2011 Jun 15.
Mullerian duct remnants result from incomplete regression, a defect that occurs during sexual differentiation. Ninety percent of patients with mullerian remnants also have an associated disorder of sexual differentiation such as hypospadias. Presenting signs and symptoms are recurrent bladder infection, perineal pain, dysuria, or infertility. The purpose of this case report is to recount an unusual presentation of a mullerian duct remnant with recurrent epididymo-orchitis and to discuss the embryology, diagnosis, and management of this condition.
苗勒管残余是由于不完全退化引起的,这是一种在性分化过程中发生的缺陷。90%的苗勒管残余患者还伴有性分化障碍,如尿道下裂。其主要表现为反复的膀胱感染、会阴部疼痛、尿痛或不孕。本文报告了一例苗勒管残余症以反复附睾炎和睾丸炎为表现的罕见病例,并讨论了该疾病的胚胎学、诊断和治疗。