Karyotyping Findings Confirm the Diagnosis of Persistent Mullerian duct Syndrome. : A Part from The Book Chapter : Persistent Mullerian Duct Syndrome Presented as Male Infertility, a Case Report

persistent Mullerian duct syndrome

A 28-year married male, married for last 2 years presented with complaints of primary infertility and inguinoscrotal swelling at UPUMS, Saifai. On clinical examination he was phenotypically male with bilateral undescended testis which was previously undiagnosed. He had a normally developed penis, normal in length and width. On evaluation, he had azoospermia on semen analysis. USG shows hernial defect protruding into the scrotum on one side and the testis absent on the contralateral side. Routine investigation complete blood count, liver function test, kidney function test and blood sugar within normal limits. Hormonal evaluation showed, raised FSH of 40.24 IU/L (normal- 1.5-12.4 IU/L) while LH, prolactin and testosterone within normal limits. Intraoperative findings were of undescended testis both present on left inguinal region with uterus and both the fallopian tubes. Histopathological findings show uterus and fallopian tubeswith adjacent testicular tissue. Section from testis shows immature Sertoli cells without spermatogonia. karyotyping findings confirm the diagnosis of persistent mullerian duct syndrome.

Author(s) Details:

Roopak Aggarwal,
Uttar Pradesh University of Medical Sciences, Saifai, Etawah, India.

Pinki Pandey,
Uttar Pradesh University of Medical Sciences, Saifai, Etawah, India.

Anubhav Gautam,
Uttar Pradesh University of Medical Sciences, Saifai, Etawah, India.

Sanjeev Kumar Singh,
Uttar Pradesh University of Medical Sciences, Saifai, Etawah, India.

Md. Mubashir Ali Khan,
Uttar Pradesh University of Medical Sciences, Saifai, Etawah, India.

Harender Kumar,
Sarojini Naidu Medical College, Agra, India.

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