Delhi man's infertility test uncovers rare condition, uterus found in abdomen

A rare medical case has emerged from Delhi, where doctors found a uterus, fallopian tubes and abnormal testicular tissue in the abdomen of a 26 year old married man during tests for infertility. Doctors said they were stunned by how rare the case was.

The couple had been trying to start a family for about two years after their marriage. When all of the wife's medical tests came back normal, doctors began examining the husband's fertility. The tests showed that both his testicles were not in their usual position.

Semen analysis showed azoospermia, meaning there were no sperm in the semen at all. His testosterone level was normal, but FSH and LH hormone levels were found to be raised. An ultrasound was then done, which showed an abnormal structure in the lower abdomen. An MRI was carried out for a clearer picture.

The MRI report revealed the full extent of the case. Structures resembling a uterus and fallopian tubes had developed in the patient's abdomen. Further testing showed that his chromosome pattern was 46,XY. Doctors said the patient has a congenital and extremely rare condition called Persistent Mullerian Duct Syndrome, or PMDS.

In PMDS, a defect in Anti-Mullerian Hormone (AMH) or its receptor during the development of a male embryo causes structures resembling a uterus and fallopian tubes to remain in the body. The patient underwent surgery, and tests on the tissue removed during the surgery found pre-cancerous changes in one testicle. Doctors said this is why such conditions should be checked for from childhood, so that a bigger risk can be avoided later on.