Background

True hermaphroditism is characterized by the presence of both testicular and ovarian tissue. This case report aimed to describe a case of ovotestis in adolescents.

Case

A 17-year-old patient presented with undifferentiated genitalia. Thelarche occurred at age 14, menarche occurred at age 15, and menstruation was regular. Physical examination showed female phenotype, Tanner IV breasts, gynecoid hair, enlarged clitoris, and labia majora symphysis with a single orifice. The patient presented high levels of total testosterone. The left gonad contained typical ovarian tissue and the right gonad contained both seminiferous tubules and ovarian tissue (ovotestis). Vaginoscopy revealed a single orifice (urethra and vagina). Right gonadectomy confirmed the presence of ovotestis.

Summary and Conclusion

Knowledge of true hermaphroditism is important for early diagnosis and proper management.

中文翻译：

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性发育障碍：一例晚期诊断的卵睾丸及其术后随访。

背景

真正的雌雄同体特征是睾丸和卵巢组织都存在。该病例报告旨在描述青少年的卵睾丸病例。

案件

一名17岁的患者表现出未分化的生殖器。Thelarche发生在14岁，月经初潮发生在15岁，月经规律。体格检查显示女性表型，Tanner IV乳房，妇长状毛发，阴蒂增大和大阴唇对称性，但只有一个孔。该患者的总睾丸激素水平很高。左性腺包含典型的卵巢组织，右性腺包含生精小管和卵巢组织（卵睾丸）。阴道镜检查显示单个孔（尿道和阴道）。右性腺切除术证实存在卵睾丸。

总结与结论

真正的雌雄同体知识对于早期诊断和正确管理很重要。