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Fertil Steril. 2005 Apr;83(4):1041.

True hermaphroditism presenting as bilateral gynecomastia in an adolescent phenotypic male.

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1
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.

Abstract

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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