quiz yourself answers:
this is a classic description of persistent Mullerian duct syndrome
wikipedia.org/Mullerian_duct_syndrome
due to lack of MIF (mutation in the gene that makes MIF) โ persistence of the Mullerian duct โ uterus and fallopian tube present in a XY male w/ testes (typically cryptorchid).
Because his testicles are undescended, his sertoli cells are probably not working properly, and therefore not synthesizing MIF correctly. Which is why his internal female genitalia is allowed to develope in a default setting.
I'm thinking this is decreased levels of anti-Mullerian hormone? This is what usually inhibits the paramesonephric duct (ultimately develops into internal female genitalia) in males. A patient can be XY and still have decreased levels.
Addition to Hungrybox's explanation:
Why it's not 47,XXY:
This would be referring to Klinefelter's, which is characterized by small, poorly functioning testicles.
However, question states "morphologic studies of a biopsy specimen of the testes show no abnormalities"
submitted by โhungrybox(1277)
This video explains genital embryology extremely well.
If you felt totally lost like me, watch the video first at 2x, then check out the bottom figure on pg. 608 in FA 2019.
Relevant to this question:
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