J Vet Sci.  2019 Nov;20(6):e59. 10.4142/jvs.2019.20.e59.

Male pseudohermaphroditism with os clitoris in three dogs

Affiliations
  • 1Department of Veterinary Laboratory Medicine, College of Veterinary Medicine, Chonnam National University, Gwangju 61186, Korea. cmlee1122@jnu.ac.kr
  • 2Department of Veterinary Obstetrics, College of Veterinary Medicine, Chonnam National University, Gwangju 61186, Korea.
  • 3Department of Veterinary Pathology, College of Veterinary Medicine, Chonnam National University, Gwangju 61187, Korea. sipark@jnu.ac.kr

Abstract

Two American Cocker Spaniels and one Bichon Frise were presented to our veterinary teaching hospital with an enlarged clitoris. Diagnostic imaging showed that the structure was composed of bony material. Exploratory laparotomy revealed uterine-like structures and testes which had an epididymis unilaterally. Surgical removal of internal genitalia, gonads and protruded clitoris were performed well. Histological evaluation revealed; inactive testes, female internal genital tracts with ambisexual ductal remnants, and prominent ossification in the clitoris. All 3 cases were diagnosed with male pseudohermaphroditism. In author's knowledge, this is the first report in Bichon Frise dog with os clitoris and also, it describes not common cases in small dog breeds with os clitoris.

Keyword

American Cocker Spaniel; Bichon Frise; male pseudohermaphroditism; os clitoris; persistent Müllerian duct

MeSH Terms

46, XY Disorders of Sex Development*
Animals
Clitoris*
Diagnostic Imaging
Dogs*
Epididymis
Female
Genitalia
Gonads
Hospitals, Teaching
Humans
Laparotomy
Male*
Testis

Figure

  • Fig. 1. Radiographic findings of clitoris in 3 cases. Plain radiography revealed a clearly identifiable structure with obvious bone density (arrows) in the enlarged clitoris of all 3 cases. All images were obtained by positioning in the dorsal recumbent position in (A) case 1, (B) case 2, and (C) case 3.

  • Fig. 2. Histological result of gonads and reproductive tracts in 3 cases. The testicles were composed of seminiferous ducts which were lined by only spermatogonia (arrows heads) and interstitial cells (arrows) in case 1 (A) and case 3 (C). There was not any evidence of spermatogenesis. Uterine-like structure with remnants of both the mesonephric duct and the paramesonephric duct was found exclusively in case 2 (B).


Reference

References

1. Jang SJ, Kim YJ, Kim G, Choi SH. Male pseudohermaphroditism in a Maltese/poodle mixed dog. J Biomed Res. 2014; 15:36–39.
Article
2. Sumner SM, Grimes JA, Wallace ML, Schmiedt CW. Os clitoris in dogs: 17 cases (2009–2017). Can Vet J. 2018; 59:606–610.
3. Lyle SK. Disorders of sexual development in the dog and cat. Theriogenology. 2007; 68:338–343.
Article
4. Kang HG, Kim IH, Kim HJ, Hwang DY, Jee SW, Noh GJ. A female hermaphrodite American cocker spaniel dog with Sry-negative XX sex reversal. J Embryo Transf. 2008; 23:119–125.
5. Poth T, Breuer W, Walter B, Hecht W, Hermanns W. Disorders of sex development in the dog-Adoption of a new nomenclature and reclassification of reported cases. Anim Reprod Sci. 2010; 121:197–207.
Article
6. Weng Q, Murase T, Asano M, Tsubota T. Male Pseudohermaphroditism in a raccoon dog (Nyctereutes procynoides). J Vet Med Sci. 2005; 67:603–605.
7. Meyers-Wallen VN. Inherited disorders in sexual development. J Hered. 1999; 90:93–95.
Article
8. Wernham BG, Jerram RM. Male pseudohermaphroditism in a Labrador Retriever, and a review of mammalian sexual differentiation. N Z Vet J. 2006; 54:248–252.
Article
9. Del Amo AN, Luca JD, Zufriategui L, Armocida A, Barbeito CG, Gobello C. Male pseudohermaphroditism in a dog: a case report. Commun Theriogenology. 2001; 1:1–11.
10. Sacks MK, Béraud R. Female pseudohermaphroditism with cloacal malformation and related anomalies in a dog. Can Vet J. 2012; 53:1105–1108.
11. Kutzler M, Keller G, Smith F. Os clitoridis on radiographs submitted for coxofemoral dysplasia evaluations. Proc Soc Theriogenol. 2013; 362.
12. Romagnoli S, Schlafer DH. Disorders of sexual differentiation in puppies and kittens: a diagnostic and clinical approach. Vet Clin North Am Small Anim Pract. 2006; 36:573–606.
Article
13. Meyers-Wallen VN, Donahoe PK, Ueno S, Manganaro TF, Patterson DF. Müllerian inhibiting substance is present in testes of dogs with persistent müllerian duct syndrome. Biol Reprod. 1989; 41:881–888.
14. Smeak DD, Turner H. Treatment of clitoral hypertrophy containing an os clitoris and urethra in a young greyhound dog: a detailed surgical description. Can Vet J. 2014; 55:836–840.
15. Alam MR, Cho YG, Cho SJ, Lee JI, Lee HB, Tae HJ, Kim IS, Kim NS. Male pseudohermaphroditism in dogs: three case reports. Vet Med. 2007; 52:74–78.
Article
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