A Case Report of Patient Presenting with Huge Abdominal Seminoma and Persistent Mullerian Duct Syndrome

Abstract

Persistent Mullerian Duct Syndrome is a very rare form of male pseudo hermaphroditism. It is characterized by the presence of Mullerian duct derivatives (uterus, fallopian tubes and upper two-third of vagina) in genotypically and phenotypically normal males. The most common presenting symptoms are inguinal hernia, undescended testis and transverse testicular ectopia and infertility. The risk of malignancy in testes associated with Persistent Mullerian Duct Syndrome is up to 15%. We report a 38 year-old, phenothpically male patient, presenting with huge abdominal mass. He had underwent bilateral orchiectomy due to cryptoorchidism at 10 years old. At exploration, uterus like structure was observed adherent to mass. The case explained in this report is an example of delayed recognition of Persistent Mullerian Duct Syndrome and subsequent seminoma.

Keywords

• cryptoorchidism
• persistent mullerian duct syndrome
• seminoma
• kriptoorşidizm
• persistan müllerian kanal sendromu
• seminom