A 7-year-old male miniature schnauzer dog with unilateral cryptorchidism was presented for elective orchiectomy. Surgery to remove the cryptorchid testis revealed a fully formed uterus with horns attached to both testis and the body and cervix terminating at the prostate gland. The gross and microscopic diagnosis for the genital tract was persistent Müllerian duct syndrome with unilateral cryptorchidism. Additional associated lesions included cystic endometrial hyperplasia and a solitary, intratubular seminoma within the undescended testis. Persistent Müllerian duct syndrome is rare among domestic animals but is more common in miniature schnauzer dogs because of inheritance as an autosomal recessive trait.Keywords cryptorchidism, dogs, genital organs, male pseudohermaphroditism, Müllerian ducts, sexual differentiation
History, Gross Findings, and Lab ResultsA 7-year-old intact male miniature schnauzer dog with a history of previously siring 2 litters and having offspring of 11 puppies in all was presented for elective orchidectomy. Only 1 testis, the left, was present within the scrotum; the right testis was not palpable in the scrotum or the inguinal area. Surgical exposure of the cryptorchid testis, in the region of the right internal inguinal ring, revealed a fully formed uterus, with the cranial aspect of the right uterine horn attaching to the tail of the epididymis. The uterine body and cervix terminated blindly on the dorsal aspect of the prostate gland, and the left uterine horn extended through the left inguinal ring, where it attached to the scrotal testis. Gonadohysterectomy was performed, ligating and transecting the uterine body near the cervix and transecting the right uterine horn as it passed through the inguinal ring. The scrotal testis and portion of the attached uterine horn was also surgically removed. The gonads and tubular genital tract were submitted for histopathological examination (Fig. 1).
Differential DiagnosesDiagnoses to be considered for the presence of a feminized tubular genital tract accompanied by external male genitalia and gonads that grossly resemble testes include a true hermaphrodite, in which the gonads contain both ovarian and testicular components, and a male pseudohermaphrodite, in which the gonads are composed of only testicular tissue but are accompanied by a feminized or ambiguous tubular tract or external genitalia. Sex reversal, in which a genetic female with an XX karyotype develops into a phenotypic male or true hermaphrodite, could have been a consideration, had the dog not been a successful sire.
Microscopic FindingsThe tubular portion of the genital tract was composed of fully formed uterine horns with development of all layers. The cranial portion of the uterine horn terminated near the tail of the epididymis (Fig. 2). The smooth muscle of the myometrium merged with the thick tunica muscularis of the ductus deferens (Fig. 3), the lumen of which was lined by typical pseudostratified and often ciliated columnar epithelium that occasionally demonstrated...