ABSTRACT
True hermaphroditism was diagnosed when a male was evaluated for inguinal swelling and hematuria. A true hermaphrodite rarely has bilaterally descended gonads. This patient had intrascrotal ovotestes. Diagnosis and management of the true hermaphrodite are reviewed.
Subject(s)
Disorders of Sex Development/diagnosis , Hematuria/diagnosis , Adult , Female , Groin , Humans , Male , Ovary/abnormalities , Pain/diagnosis , Testis/abnormalitiesABSTRACT
Prenatal amniocentesis performed for advanced maternal age demonstrated a 46XX female karyotype. At birth, however, the infant was noted to be a phenotypic male with descended testes and severe chordee without hypospadias. Chromosomal analysis confirmed a female karyotype, while later surgical exploration revealed normal internal wolffian duct structures.
Subject(s)
Disorders of Sex Development/genetics , Sex Chromosomes , Biopsy , Disorders of Sex Development/pathology , Humans , Infant, Newborn , Karyotyping , Male , Phenotype , Syndrome , Testis/pathologyABSTRACT
We report 2 cases of synchronous bilateral renal oncocytoma treated by radical nephrectomy on 1 side and by partial nephrectomy on the other side. Long-term followup serves to confirm the noninvasive nature of this disease. We recommend conservative management based upon radiological and gross pathological findings.