de Oliveira Maria Eduarda Mirabelo, Cebim Marcella Araujo, Talib Mariana Semião Francisco, Faustino Marcelo, de Jesus Silva Maria José, Goissis Marcelo Demarchi, de Sá Lilian Rose Marques, Vannucchi Camila Infantosi
Department of Animal Reproduction, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, Brazil.
Ecology and Evolution Laboratory - Butantan Institute, São Paulo, Brazil.
Vet Res Commun. 2025 Feb 4;49(2):96. doi: 10.1007/s11259-025-10664-5.
This study aims to report a case of sexual ambiguity in a 3-yr mongrel dog and its respective etiological approach. There was a complaint of trauma and pinpoint bleeding in a chronical exposed structure, which examination indicated to be penis-like with perineoscrotal insertion and ventral hypospadia, surrounded by skin folds that resembled vulvar labia majora or hypoplastic prepuce. No evident scrotum and testicles were noted. Abdominal ultrasonography revealed ectopic testicles and an undefined structure filled with high-cellularity content in close contact with the prostate dorsal wall. The dog underwent exploratory laparotomy, revealing structures morphologically compatible with testicles and epididymides, connected by a tubular structure macroscopically resembling uterine horns, which was subjected to histopathological analysis and genotyping. For the external genitalia, penectomy was performed, followed by lateral mucosa reinsertion of the urethra, remaining a skin extension with vulvar-lips appearance. Histopathological examination revealed testicular hypoplasia and bilateral epididymal dysplasia and confirmed that the tubular structure was indeed an excessive distended epididymal duct. Blood sample was collected for cytogenetic analysis, which revealed variations in the diploid number (2n = 78, XY) due to addition (2n = 79) or absence of acrocentric autosomal chromosomes (2n < 78). Sex genotyping confirmed a male sex (XY). In conclusion, this clinical case demonstrated a XY disorder of sexual development (male pseudohermaphroditism) due to phenotypic sex ambiguity (ambiguous external genitalia), yet with a non-function degenerated testes and hypertrophic dilation of the epididymides, suggesting a disorder of male hormonal biosynthesis.
本研究旨在报告一例3岁杂种犬的性发育异常病例及其相应的病因学研究方法。主诉为慢性暴露结构处有创伤和点状出血,检查发现该结构类似阴茎,有会阴阴囊内陷和腹侧尿道下裂,周围有类似大阴唇或发育不全包皮的皮肤褶皱。未发现明显的阴囊和睾丸。腹部超声检查发现异位睾丸以及与前列腺后壁紧密接触的充满高细胞成分的不明结构。该犬接受了剖腹探查术,发现形态上与睾丸和附睾相符的结构,由一个宏观上类似子宫角的管状结构相连,对该管状结构进行了组织病理学分析和基因分型。对于外生殖器,实施了阴茎切除术,随后进行尿道黏膜外侧重新植入,保留了外观类似阴唇的皮肤延伸部分。组织病理学检查显示睾丸发育不全和双侧附睾发育异常,并证实该管状结构确实是过度扩张的附睾管。采集血样进行细胞遗传学分析,结果显示由于近端着丝粒常染色体的增加(2n = 79)或缺失(2n < 78)导致二倍体数目(2n = 78,XY)出现变化。性别基因分型证实为雄性(XY)。总之,该临床病例表现为因表型性发育异常(外生殖器模糊)导致的XY性发育障碍(男性假两性畸形),但睾丸无功能且附睾肥大扩张,提示存在雄性激素生物合成障碍。