True hermaphroditism presenting as bilateral gynecomastia in an adolescent phenotypic male.

Abstract:

OBJECTIVE:To report a rare case of true hermaphroditism presenting in adolescence as bilateral gynecomastia in a phenotypic male. DESIGN:Case report. SETTING:Academic medical center. PATIENT(S):A 19-year-old phenotypic male who presented with pronounced bilateral gynecomastia and was ultimately diagnosed with true hermaphroditism. INTERVENTION(S):Endoscopic removal of the internal female genital tract (hemiuterus and ovary), reduction mammoplasty, repair of penile chordee, and left testicular prosthesis placement. MAIN OUTCOME MEASURE(S):Diagnosis and treatment of true hermaphroditism. RESULT(S):Bilateral mammoplasties, repair of a penile chordee, placement of a left testicular prosthesis, and excision of the left hemiuterus and ovary resulted in return to testicular function in this true hermaphrodite. CONCLUSION(S):Although rare, true hermaphroditism should be suspected in male patients presenting with bilateral breast enlargement in adolescence.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Ouhilal S,Turco J,Nangia A,Stotland M,Manganiello PD

doi

10.1016/j.fertnstert.2004.09.036

keywords:

subject

Has Abstract

pub_date

2005-04-01 00:00:00

pages

1041

issue

4

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(04)03234-0

journal_volume

83

pub_type

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