RESUMO
A twenty-eight year old phenotypically and genotypically normal male adult was admitted with a right inguinal hernia, a right retractile testis and left cryptorchidism. During surgery, he was found to have a uterus in the right spermatic cord and a left undescended testis (intra abdominal type). The uterus was excised, left orchidectomy, right orchidoplexy and right herniorrhaphy were performed. This rare case is reported as persistent Mullerian Duct Syndrome (PMDS) which is caused by impaired action of Mullerian Inhibiting Substance (MIS) in regressing the Mullerian duct.
Assuntos
Adulto , Criptorquidismo/complicações , Transtornos do Desenvolvimento Sexual/complicações , Hérnia Inguinal/complicações , Humanos , Masculino , Ductos Paramesonéfricos , Fenótipo , SíndromeRESUMO
A retrospective study of pancreaticoduodenctomy in Songklanagarind Hospital between 1985-1997 was conducted on 51 consecutive patients, 28 men and 23 woman, aged 12-80 years. (mean 57.2) Jaundice was the main chief complaint and fever was the second. Ampullary carcinoma was the most common pathological result with pancreatic carcinoma being next. Postoperative complication occurred in 25 patients, 9 patients required reopereation and 4 died.