Ovotestis in Adolescence: 2 Case Reports

We present 2 patients found to have ovotesticular disorder of sexual development (otDSD) in late adolescence. Two 15-year-old phenotypically male patients presented to a large pediatric hospital with different complaints: 1 with concern for testicular rupture after a straddle injury; 1 with gynecoma...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2017-07, Vol.105, p.171-174
Main Authors: Chouhan, Jyoti D., Chu, David I., Birs, Antoinette, Pyle, Louise C., Van Batavia, Jason P., Linn, Rebecca L., Back, Susan J., Russo, Pierre, Darge, Kassa, Kolon, Thomas F., Srinivasan, Arun K.
Format: Article
Language:English
Subjects:
Adolescent
Female
Humans
Male
Ovotesticular Disorders of Sex Development - diagnosis
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Summary:We present 2 patients found to have ovotesticular disorder of sexual development (otDSD) in late adolescence. Two 15-year-old phenotypically male patients presented to a large pediatric hospital with different complaints: 1 with concern for testicular rupture after a straddle injury; 1 with gynecomastia. Further workup, including imaging and laboratory tests, was performed before surgical exploration. The first patient had unilateral ovotestis, contralateral testis, and SRY-negative 46,XX karyotype. The second patient with gynecomastia had unilateral ovotestis with hemi-uterus and fallopian tube, contralateral ovarian tissue, and 46,XX/47,XXY Klinefelter mosaic karyotype. Although rare, phenotypically normal male patients may present later with ovotesticular disorder of sexual development.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2017.04.009