Rodríguez DS, Augusto OE, Islas GD, Escalante MM

Language: Spanish
References: 11
Page: 148-151
PDF size: 113.13 Kb.

ABSTRACT

Male pseudoermaphrodism implies the presence of abnormal external genitalia, in accordance with genetic sex; they are individuals with XY caryotype whose gonads are compose by testicles, and external genitalia are usually female at birth. We present the case of male pseudoermaphrodism, diagnosed at the age of 8 months due to female phenotype and inguinal bilateral mass, with initial diagnosis of inguinal bilateral hernia; caryotype was performed as well as exploratory laparotomy plus corresponding studies for genetic male sex. Treatment included surgical resection of both gonads, vaginoplasty and bladder genitoscopy. The patient actually is seven years old, socially raised as female and is under pediatric, psiychiatric and endocrinologic supervision. Diagnosis should always be considered before assigning the definite sex of a newborn when there is doubt in the physical exam, because of the ethical, medical and psychological implications for the patient and his or her family.

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