ArticleCureus2026
Catamenial Hematuria in Mixed Gonadal Dysgenesis (45,X/46,XY): A Case Report of a Rare Presentation.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
Mixed gonadal dysgenesis (MGD) is a rare disorder of sex development (DSD) associated with 45,X/46,XY mosaicism and variable phenotypic presentation. Mullerian remnants may persist but are typically non-functional. We report a 16-year-old phenotypic male with hypospadias and a unilateral undescended testis with prior resection of a streak gonad containing fallopian tube structures, who presented with cyclical hematuria and lower abdominal pain. Imaging suggested a Müllerian duct cyst. Diagnostic laparoscopy and cystoscopy revealed a cystic structure communicating with the posterior urethra, initially mimicking a diverticulum. Surgical excision was performed, and histopathology demonstrated uterine tissue with proliferative endometrium. The symptoms were attributed to catamenial bleeding from functional Müllerian tissue. This case highlights a rare presentation of MGD and emphasizes the importance of considering Müllerian remnants in phenotypic males with cyclical hematuria.
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