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[Inguinal hernia in a young girl; sporadic manifestation of testicular feminization].
Ned Tijdschr Geneeskd. 1997 Oct 25; 141(43):2071-3.NT

Abstract

Examination of a woman aged 17 years with primary amenorrhoea revealed normal breasts and external genital organs, hardly any axillary or pubic hair growth, a blind vaginal pouch and no palpable uterus or adnexa. At additional examination, uterus and adnexa proved to be absent, the serum testosterone concentration was substantially increased and the karyotype was 46,XY. The diagnosis was 'testicular feminization' (androgen insensitivity syndrome). The patient in childhood had undergone a bilateral inguinal hernia operation, at which 'ovaries' were found in the hernial sacs. It might have been interpreted as the first sign of the syndrome; such a finding necessitates further examination. Most patients with testicular feminization seek medical advice because of primary amenorrhoea. Early diagnosis is important because the risk of malignant degeneration of the intra-abdominal testes increases with advancing age (sometimes also in relatives). Also it makes it possible gradually to prepare the child for her future.

Authors+Show Affiliations

Afd. Gynaecologie, Stichting Gezondheidszorg Oostelijk Zuid-Limburg, Heerlen.No affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

dut

PubMed ID

9550766

Citation

Ubachs, J M., and P R. Brink. "[Inguinal Hernia in a Young Girl; Sporadic Manifestation of Testicular Feminization]." Nederlands Tijdschrift Voor Geneeskunde, vol. 141, no. 43, 1997, pp. 2071-3.
Ubachs JM, Brink PR. [Inguinal hernia in a young girl; sporadic manifestation of testicular feminization]. Ned Tijdschr Geneeskd. 1997;141(43):2071-3.
Ubachs, J. M., & Brink, P. R. (1997). [Inguinal hernia in a young girl; sporadic manifestation of testicular feminization]. Nederlands Tijdschrift Voor Geneeskunde, 141(43), 2071-3.
Ubachs JM, Brink PR. [Inguinal Hernia in a Young Girl; Sporadic Manifestation of Testicular Feminization]. Ned Tijdschr Geneeskd. 1997 Oct 25;141(43):2071-3. PubMed PMID: 9550766.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Inguinal hernia in a young girl; sporadic manifestation of testicular feminization]. AU - Ubachs,J M, AU - Brink,P R, PY - 1998/4/29/pubmed PY - 1998/4/29/medline PY - 1998/4/29/entrez SP - 2071 EP - 3 JF - Nederlands tijdschrift voor geneeskunde JO - Ned Tijdschr Geneeskd VL - 141 IS - 43 N2 - Examination of a woman aged 17 years with primary amenorrhoea revealed normal breasts and external genital organs, hardly any axillary or pubic hair growth, a blind vaginal pouch and no palpable uterus or adnexa. At additional examination, uterus and adnexa proved to be absent, the serum testosterone concentration was substantially increased and the karyotype was 46,XY. The diagnosis was 'testicular feminization' (androgen insensitivity syndrome). The patient in childhood had undergone a bilateral inguinal hernia operation, at which 'ovaries' were found in the hernial sacs. It might have been interpreted as the first sign of the syndrome; such a finding necessitates further examination. Most patients with testicular feminization seek medical advice because of primary amenorrhoea. Early diagnosis is important because the risk of malignant degeneration of the intra-abdominal testes increases with advancing age (sometimes also in relatives). Also it makes it possible gradually to prepare the child for her future. SN - 0028-2162 UR - https://www.unboundmedicine.com/medline/citation/9550766/[Inguinal_hernia_in_a_young_girl L2 - http://www.diseaseinfosearch.org/result/7031 DB - PRIME DP - Unbound Medicine ER -
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