Clinical case with Persistent Müllerian Duct Syndrome

Abstract

Introduction: Persistent Müllerian Duct Syndrome is a rare inherited disorder characterized by incomplete regression of Müllerian duct structures in an individual with male physical and genetic traits. Objective: To describe the presentation and surgical treatment in a patient with persistent Müllerian duct syndrome. Clinical Case: An 18-year-old male patient who attended the general surgery outpatient clinic due to left cryptorchidism, right hydrocele and a synechiae from the penis to the scrotum. During the surgical procedure, the presence of an ovary with a fallopian tube on the left side without the presence of the uterus was confirmed. An oophorectomy with salpingectomy was performed, in addition to a hydrocelectomy on the right side and the release of the penis, leaving it in a functional position. The diagnosis was made early in the patient's life, with no evidence of malignancy during follow-up. Conclusions: The knowledge of general surgeons about persistent Müllerian duct syndrome is limited due to the small number of cases and the variety of presentations. Surgeons should have a high level of suspicion for this syndrome when evaluating individuals with cryptorchidism.

Keywords

• conductos paramesonéfricos
• criptorquidismo
• trastornos del desarrollo sexual.