A Case Report on Female Pseudohermaphroditism: An Ambiguous Genitalia.

ABSTRACT

Ambiguous genitalia is a birth defect of the sex organs that makes it unclear whether an affected newborn is a girl or a boy. This condition occurs approximately 1 in every 4,500 births that causes gynecological and obstetrical problems. Defects of the external genital organs (penis, testes, or clitoris) usually result from abnormal levels of sex hormones in the fetus before birth. A 30-year-old primi with 38 weeks of pregnancy was admitted on August 21, 2011 at 8.45 PM with complaints of mild lower abdominal pain. Ultrasound scan on the same day showed a single 38 weeks live intrauterine fetus of ambiguous genitalia with breech presentation. Emergency lower segment cesarean section was performed on August 22, 2011 at 10.55 PM and the patient delivered a baby with ambiguous genitalia having both clitoris and penis. This diagnosed to be a case of female pseudohermaphroditism caused by congenital adrenal hyperplasia because babies who are born with ambiguous genitalia having external genital organs that do not appear clearly male or female or have features of both, but have female internal reproductive organs are known as female pseudohermaphrodities.