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A 17-year-old phenotypic female with ambiguous genitalia is presented. The patient complained of progressive dysmenorrhea, passing urine and menstrual blood through the same opening since menarche. Pelvic examination revealed and enlarged clitoris with prominent phallus, an enlarged right labio-scrotal fold with palpable gonad and a 3 mm diameter opening of both the urethral meatus and vaginal orifice at the vestibule. Chromosome analysis showed 46,XX/46XY karyotype. Laparotomy via right inguinal incision confirmed true hermaphroditism because of finding a right unilateral ovotestis. Factors leading to delay in presentation are discussed and the need for early diagnosis and management is emphasized. The clinical, cytogenetic features, gonadal histology and management are described and discussed.
S Veskijkul, and
U Jinorose, and
K Kanchanaporn
September 2000,
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology,
S Veskijkul, and
U Jinorose, and
K Kanchanaporn
December 1987,
Journal of medical genetics,
S Veskijkul, and
U Jinorose, and
K Kanchanaporn
August 2020,
Journal of human genetics,
S Veskijkul, and
U Jinorose, and
K Kanchanaporn
January 1979,
Clinical genetics,
S Veskijkul, and
U Jinorose, and
K Kanchanaporn
December 1990,
Cancer,
S Veskijkul, and
U Jinorose, and
K Kanchanaporn
March 1976,
Obstetrics and gynecology,
S Veskijkul, and
U Jinorose, and
K Kanchanaporn
January 1982,
Indian journal of pediatrics,
S Veskijkul, and
U Jinorose, and
K Kanchanaporn
March 1977,
Obstetrics and gynecology,
S Veskijkul, and
U Jinorose, and
K Kanchanaporn
February 2006,
Prenatal diagnosis,
S Veskijkul, and
U Jinorose, and
K Kanchanaporn
December 1971,
The Journal of obstetrics and gynaecology of the British Commonwealth,
