Mixed Gonadal Dysgenesis Mimicking True Hermaphroditism
Journal of the Korean Association of Pediatric Surgeons
;
: 222-227, 2007.
Article
Dans Coréen
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Ovaire
/
Scrotum
/
Peau
/
Testicule
/
Utérus
/
Échographie
/
Diagnostic différentiel
/
Troubles ovotesticulaires du développement sexuel
/
Trompes utérines
/
Dysgénésie gonadique mixte
Type d'étude:
Etude diagnostique
/
Étude pronostique
Limites du sujet:
Femelle
/
Humains
/
Mâle
langue:
Coréen
Texte intégral:
Journal of the Korean Association of Pediatric Surgeons
Année:
2007
Type:
Article
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