Ouhilal S, Turco J, Nangia A, Stotland M, Manganiello PD
True hermaphroditism presenting as bilateral gynecomastia in an adolescent phenotypic male. [Case Reports, Journal Article]
Fertil Steril 2005 Apr; 83(4):1041.
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.
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