Skip to main content
SpringerLink
Log in

Persistent müllerian duct syndrome with transverse testicular ectopia

An experiment of nature with clues for understanding testicular descent

  • Case reports
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

A patient with the combined anomalies of persistent müllerian ducts and testicular ectopia presented with a right inguinal hernia. He represents the 14th case to be documented outside Japan. A review of the literature on persistent müllerian duct syndrome has permitted a new classification of the anatomical variants to be determined. It is proposed that the testes have prolapsed into the hernial sac rather than descending in the normal way. Furthermore, the high frequency of transverse ectopia in patients with persistent müllerian ducts may be caused by the absence of round ligaments to immobilize the genital tract.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Armstrong CN (1964) Intersexuality in man. In: Armstrong CN, Marshall AJ (eds) Intersexuality in vertebrates including man. Academic Press, London, pp 349–395

    Google Scholar 

  2. Behsshti M, Churchill BM, Hardy BE, Bailey JD, Neksberg R Rogan GF (1984) Familial persistent müllerian duct syndrome. J Urol 131: 968–969

    Google Scholar 

  3. Brook CGD (1981) Persistent müllerian duct syndrome. In: Josso N (ed) The intersex child. Pediatric Adolescent Endocrinology, vol 8. Karger, Basel, pp 100–104

    Google Scholar 

  4. Cornil P, Brossard J (1907) Uterus et trompe situes entre les deux testiculis, dans la trinique vaginale. Bull Acad Med (Paris) Series 3: 246

    Google Scholar 

  5. Donahoe PK, Budzik GP, Trelstad R, Mudgett-Hunter M, Fuller A, Hutson JM, Ikawa H, Hayaski A, MacLaughlin DT (1982) Müllerian inhibiting substance: an update. Recent Prog Horm Res 38: 279–326

    Google Scholar 

  6. Duse A (1910) Utero mascolino erniato con distopia transversa del testicolo sinistro. Clin Chir 18: 1597–1606

    Google Scholar 

  7. Fourcroy JL, Belman AB (1982) Transverse testicular ectopia with persistent müllerian duct. Urology 19: 536–538

    Google Scholar 

  8. Frey HL, Rajfer J (1984) Role of the gubernaculum and intra-abdominal pressure in the process of testicular descent. J Urol 131: 574–579

    Google Scholar 

  9. Frey HL, Peng S, Rajfer J (1983) Synergy of abdominal pressure and androgens in testicular descent. Biol Reprod 29: 1233–1239

    Google Scholar 

  10. Fujita J (1980) Transverse testicular ectopia. Urology 16: 400–402

    Google Scholar 

  11. Gray SW, Skandalakis JE (1972) Anomalies of testicular descent. In: Gray SW, Skandalakis JE (eds) Embryology for surgeons. Saunders, Philadelphia, pp 588–589

    Google Scholar 

  12. Halstead AE (1907) Ectopia testis transversa. Surg Gynecol Obstet 4: 129–132

    Google Scholar 

  13. Hertzler AE (1916) Ectopia testis transversa with infantile uterus. Surg Gynecol Obstet 23: 597–601

    Google Scholar 

  14. Hutson JM (1985) A biphasic model for the hormonal control of testicular descent. The Lancet II: 419–421

    Google Scholar 

  15. Hutson JM (1986) Testicular feminization: a model for testicular descent in mice and men. J Pediatr Surg 21: 195–198

    Google Scholar 

  16. Iwasaki Y (1912) A case of dystopia testiculi. The Chugai Iji Shimpo 770: 545–548

    Google Scholar 

  17. Josso N, Picard J-Y, Tran D (1977) The anti-müllerian hormone. Recent Prog Horm Res 33: 117–160

    Google Scholar 

  18. Josso N, Fekete C, Cachin O, Nezelof C, Rappaport R (1983) Persistence of Müllerian ducts in male pseudohermaphroditism, and its relationship to cryptorchidism. Clin Endocrinol 19: 247–258

    Google Scholar 

  19. Kimura T (1918) Transverse ectopy of the testis with masculine uterus. Ann Surg 68: 420–425

    Google Scholar 

  20. MacKenzie DW (1922) Pseudohermaphroditismus masculinus internus. Surg Gynecol Obstet 34: 512–514

    Google Scholar 

  21. Nilson O (1939) Hernia uteri inguinalis beim manne. Acta Chir Scand 83: 231–249

    Google Scholar 

  22. Paltii NP (1965) Transverse testicular ectopia (in Russian) Urol Nefrol (Moscow) 30: 63

    Google Scholar 

  23. Rajfer J, Walsh PC (1977) Hormonal regulation of testicular descent: experimental and clinical observations. J Urol 118: 985–990

    Google Scholar 

  24. Thevathasan CG (1967) Transverse ectopia of the testis. Aust NZ J Surg 37: 93–102

    Google Scholar 

  25. Wensing CJG, Colenbrander B, Van Straaten HWM (1980) Normal and abnormal testicular descent in some mammals. Clin Androl 3: 125–137

    Google Scholar 

  26. Young D (1951) Hernia uteri inguinalis in the male. J Obstet Gynaecol Br Emp 58: 830–831

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Royal Children's Hospital, Melbourne, Australia

    J. M. Hutson

  2. Department of Anatomic Pathology, Royal Children's Hospital, Melbourne, Australia

    C. W. Chow

  3. Surgical ‘B’ Unit, Princess Margaret Hospital, Hong Kong

    W. -D. Ng

Authors
  1. J. M. Hutson
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C. W. Chow
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. W. -D. Ng
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hutson, J.M., Chow, C.W. & Ng, W.D. Persistent müllerian duct syndrome with transverse testicular ectopia. Pediatr Surg Int 2, 191–194 (1987). https://doi.org/10.1007/BF00185152

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00185152

Key words

Search

Navigation