Testicular feminization with persistent wolffian duct and müllerian remnants: similar to Mayer-Rokitansky-Kuster-Hauser syndrome Mari Kitade, M.D., Hiroyuki.

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Presentation transcript:

Testicular feminization with persistent wolffian duct and müllerian remnants: similar to Mayer-Rokitansky-Kuster-Hauser syndrome Mari Kitade, M.D., Hiroyuki Takeuchi, M.D., Makoto Jinushi, M.D., Iwaho Kikuchi, M.D., Jun Kumakiri, M.D., Keiji Kuroda, M.D. Fertility and Sterility Volume 92, Issue 6, Pages 2034-2036 (December 2009) DOI: 10.1016/j.fertnstert.2008.12.126 Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Laparoscopic intrapelvic view in which the cord-like tissues extending from the apex of the urinary bladder to the bilateral gonads are swollen to the size of a thumb-tip (arrow) and change to fallopian tube-like tubular tissue (arrowhead). These findings closely resemble those of Mayer-Rokitansky-Kuster-Hauser syndrome. Fertility and Sterility 2009 92, 2034-2036DOI: (10.1016/j.fertnstert.2008.12.126) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Histologic findings for the right adnexa showing the mesosalpinx between the fallopian tube and vas deferens. Fertility and Sterility 2009 92, 2034-2036DOI: (10.1016/j.fertnstert.2008.12.126) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions

Figure 3 The rudimentary uteri consisting of smooth muscles. Leydig cells of the seminiferous tubules and interstitium were observed in the gonads. Fertility and Sterility 2009 92, 2034-2036DOI: (10.1016/j.fertnstert.2008.12.126) Copyright © 2009 American Society for Reproductive Medicine Terms and Conditions