Mixed Gonadal Dysgenesis Mimicking True Hermaphroditism
Journal of the Korean Association of Pediatric Surgeons
;
: 222-227, 2007.
Article
in Korean
| WPRIM
| ID: wpr-23658
ABSTRACT
A differential diagnosis between the true hermaphroditism (TH) and mixed gonadal dysgenesis (MGD) has important clinical implications for gender assignment and the decision for early gonadectomy; however, variable clinical and histological features frequently lead to the confusion of TH with MGD. A 17- month-old boy was presented with proximal hypospadias with chordee and right non-palpable testis in his scrotum. He also had right auricular anomaly including a separated tragus with skin tag. Left testis was well palpable in his left scrotum. Diagnostic right inguinal exploration showed Mullerian structures such as a gonad like an ovary and a fallopian tube with a uterus, which were removed. Repair of hypospadias and right auricular anomaly was also done. Following ultrasonography (USG) showed a normal looking testis in left scrotum. His chromosome was 45, XO/46, XY. We report a difficult case of mixed gonadal dysgenesis mimicking true hermaphroditism which combines ipsilateral congenital auricular anomaly.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ovary
/
Scrotum
/
Skin
/
Testis
/
Uterus
/
Ultrasonography
/
Diagnosis, Differential
/
Ovotesticular Disorders of Sex Development
/
Fallopian Tubes
/
Gonadal Dysgenesis, Mixed
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Female
/
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Association of Pediatric Surgeons
Year:
2007
Type:
Article
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