Mixed Gonadal Dysgenesis Mimicking True Hermaphroditism
Journal of the Korean Association of Pediatric Surgeons
;
: 222-227, 2007.
Artigo
em Coreano
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ovário
/
Escroto
/
Pele
/
Testículo
/
Útero
/
Ultrassonografia
/
Diagnóstico Diferencial
/
Transtornos Ovotesticulares do Desenvolvimento Sexual
/
Tubas Uterinas
/
Disgenesia Gonadal Mista
Tipo de estudo:
Estudo diagnóstico
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of the Korean Association of Pediatric Surgeons
Ano de publicação:
2007
Tipo de documento:
Artigo
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