True hermaphroditism presenting as an inguinal hernia

Ceylan, Kadir; Algün, Ekrem; Güneş, Mustafa; Gonulalan, Hasan

doi:10.1590/s1677-55382007000100011

Cited by 14 publications

(6 citation statements)

References 2 publications

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“…In true hermaphrodites, both ovarian and testicular tissue is present in one or both gonads 4 . In female pseudohermaphroditism, the gonads are the ovaries, but male tendencies are seen in the organ of reproduction 5 .…”

Section: Discussionmentioning

confidence: 99%

Persistent Mullerian Duct Syndrome (PMDS) Presenting as a Malignant Tumour

Islam

Ali

Azam³

2018

Med. Today

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Section: Discussionmentioning

confidence: 99%

Persistent Mullerian Duct Syndrome (PMDS) Presenting as a Malignant Tumour

Islam

Ali

Azam³

2018

Med. Today

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“…[ 10 ] and Ceylan et al . [ 11 ] Infants and children born with DSD pose a diagnostic and therapeutic challenge to the clinicians and radiology plays a very important role in management.…”

Section: Discussionmentioning

confidence: 99%

Hernia uteri inguinalis in ovotesticular disorder of sexual differentiation: A rare complication and role of imaging

Ponnatapura

2018

Indian Journal of Radiology and Imaging

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Neonate with ambiguous genitalia can cause great apprehension for the family as well as for healthcare providers. We report a rare complication of delayed diagnosis of hernia uteri inguinalis in ovotesticular disorder of sexual differentiation (DSD) in 20-year-old male patient who presented with pain and swelling in left inguinal region since 1 month. He had a past surgical history of repair of hypospadias 10 years back. On imaging, the left inguinal hernia sac contained nonfunctioning uterus and one ovary in the left scrotal sac and one testis in the right scrotal sac. Further investigation confirmed genotypically female (46XX) with negative sex determining region-Y gene on fluorescence in situ hybridization. The patient was given psychiatric counseling and wished to remain as male. The left inguinal hernia was repaired with excision of nonfunctioning uterus, ovary, and fallopian tube. Hernia uteri inguinalis is rare complication seen in DSD with only three cases being reported worldwide thus far, including our case.

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“…Most patients with OT-DSD have ambiguous genitalia and are often diagnosed within the first few months to years of life (1, 4, 9). In addition to ambiguous genitalia, patients may present with inguinal hernias, gynecomastia during adolescence or lower abdominal mass in adulthood (4, 11). These observations are reflected in the patients reported in this paper.…”

Section: Discussionmentioning

confidence: 99%

A Case Series of Five Sri Lankan Patients with Ovotesticular Disorder of Sex Development

Wettasinghe

Sirisena

Jayasekara

et al. 2012

Clin Pediatr Endocrinol

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Ovotesticular disorder of sex development (OT-DSD) is a rare disorder of sexual differentiation in which the gonads of an individual are characterized by the presence of both mature ovarian and testicular tissues. The objective of this paper is to report the clinical, cytogenetic and histopathological findings in Sri Lankan patients diagnosed with OT-DSD who were referred to the Human Genetics Unit for cytogenetic evaluation during 2005 to 2011. Five patients had histopathologically confirmed OT-DSD. Their ages at presentation ranged from 2 mo to 47 yr. Clinical symptoms varied from ambiguous genitalia and inguinal hernias at birth to a lower abdominal mass presenting in adulthood. All 5 were reared as phenotypic males. An ovotestis was detected in all cases except one, and the predominant karyotype was 46,XY. The findings in this series of predominantly 46,XY karyotype are in contrast to previously published reports that have reported 46,XX as being the predominant karyotype. It is therefore recommended that individuals with ambiguous genitalia who have the 46,XY karyotype should be thoroughly investigated by ultrasonographic or laparoscopic assessment to determine the exact nature of their internal genital organs. OT-DSD should also be considered in the differential diagnosis of patients with cryptorchidism and inguinal hernia.

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True hermaphroditism presenting as an inguinal hernia

Cited by 14 publications

References 2 publications

Persistent Mullerian Duct Syndrome (PMDS) Presenting as a Malignant Tumour

Persistent Mullerian Duct Syndrome (PMDS) Presenting as a Malignant Tumour

Hernia uteri inguinalis in ovotesticular disorder of sexual differentiation: A rare complication and role of imaging

A Case Series of Five Sri Lankan Patients with Ovotesticular Disorder of Sex Development

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