PMID- 35340794 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220329 IS - 1735-8949 (Print) IS - 1735-9392 (Electronic) IS - 1735-9392 (Linking) VI - 15 IP - 4 DP - 2021 Dec TI - A Rare Case of 46, XX (SRY+) With Normal Male Stature and Unilateral Absence of the Vas Deferens. PG - 266-270 LID - 10.18502/jfrh.v15i4.7895 [doi] AB - Objective: This study aimed to investigate the cause of primary infertility in a rare case with unilateral absence of vas deferens. Case report : A 35-year-old man was presented to the Infertility Clinic at the National Center of Maternal and Child Health (NCMCH) with an eight-year history of primary infertility. Clinical examination showed a normal intelligence with a coarse facial appearance and small testicles. Hormonal tests detected elevated levels of prolactin (PRL), follicle stimulating hormone (FSH), and luteinizing hormone (LH), and low levels of testosterone. Chromosomal analysis with fluorescence in situ hybridization (FISH) revealed a 46XX with SRY (sex-determining region Y) positive karyotype with translocation of the SRY gene (46XX der(X)t(X:Y)(p11.1:p11.3)(SRY+)). Magnetic resonance imaging (MRI) revealed bilateral seminal vesicles atrophy and agenesis of the vas deferens on the right side, which is rarely found in 46, XX male syndrome. Conclusion: Although 46XX testicular disorder of sexual development (DSD) cases are rare, multiple aspects of the clinical examinations are important to make an accurate diagnosis and to provide proper genetic counseling and guidance to patients in their long-term management. CI - Copyright (c) 2021 Tehran University of Medical Sciences. Published by Tehran University of Medical Sciences. FAU - Batmunkh, Ganbayar AU - Batmunkh G AD - Division of Medical Genetics, National Center of Maternal and Child Health, Ulaanbaatar, Mongolia. FAU - Myagmartseren, Purevtogtokh AU - Myagmartseren P AD - Infertility clinic, National Center of Maternal and Child Health, Ulaanbaatar, Mongolia. FAU - Bayarsaikhan, Tuul AU - Bayarsaikhan T AD - Division of Medical Genetics, National Center of Maternal and Child Health, Ulaanbaatar, Mongolia. FAU - Dalkh, Tserendagva AU - Dalkh T AD - International School of Mongolian Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia. FAU - Tumurkhuu, Munkhtuya AU - Tumurkhuu M AD - Department of Chemistry, North Carolina State University, North Carolina, USA. LA - eng PT - Case Reports PL - Iran TA - J Family Reprod Health JT - Journal of family & reproductive health JID - 101496684 PMC - PMC8897815 OTO - NOTNLM OT - Chromosomal Aberrations; Male Infertility; Magnetic Resonance Imaging; Sexual Development; 46 OT - XX Testicular Disorders of Sex Development EDAT- 2022/03/29 06:00 MHDA- 2022/03/29 06:01 PMCR- 2021/12/01 CRDT- 2022/03/28 05:16 PHST- 2022/03/28 05:16 [entrez] PHST- 2022/03/29 06:00 [pubmed] PHST- 2022/03/29 06:01 [medline] PHST- 2021/12/01 00:00 [pmc-release] AID - JFRH-15-266 [pii] AID - 10.18502/jfrh.v15i4.7895 [doi] PST - ppublish SO - J Family Reprod Health. 2021 Dec;15(4):266-270. doi: 10.18502/jfrh.v15i4.7895.