Where I used to fly, KSEE, was a good example of a relatively high CTL MDA. Admittedly, I just flew a light twin in there but I believe even the bigger jets (Gulf 5, Falcon 900 etc.) had to start their descent on downwind to manage their profile. Overshoot the final for 27R, you would hit the biggest rock in the vicinity of the field. Also if a balked landing was to be executed the published missed approach procedure would not be a very good idea since it would take you approximately right over the highest point (Cowles Mountain for the locals) direct to MZB VOR. Runway only 1615 m. Easy to paint yourself into a corner on a bad day, I can imagine. A basic VFR pattern south of the field might be the best idea. Local knowledge about the terrain is certainly useful.
Are there any procedures laid out at all for balked landing go-arounds below MDA during CTL? Missed approach procedures do not really take that into account, do they?