Abstract

We report a case of ambiguous genitalia in a 15-year-old patient to demonstrate input of medical imaging in the diagnosis and care of this rare congenital deformation. Disorders of sexual differentiation (DSD) have been defined as congenital conditions in which development of chromosome, gonad, or anatomic sex is atypical and that raise an issue in the sex assignment. In lower socioeconomic countries where antenatal diagnosis is almost non-existent, due to lack of technical facilities, their medical and surgical management is hard. The case which we report was investigated by ultrasonography and genitography, which remains primary indications in our context.

Highlights

  • Ambiguous genitalia or hermaphroditism is a rare intersex condition

  • We report a case of ambiguous genitalia in a 15-year-old patient to demonstrate input of medical imaging in the diagnosis and care of this rare congenital deformation

  • Disorders of sexual differentiation (DSD) have been defined as congenital conditions in which development of chromosome, gonad, or anatomic sex is atypical and that raise an issue in the sex assignment

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Summary

Introduction

Ambiguous genitalia or hermaphroditism is a rare intersex condition. It affects about one newborn in 4500 births and is defined by mixed various proportions of male and female sexual characteristics [1]. According to the new nomenclature, we no longer speak of ambiguous genitalia but of disorders of sexual differentiation (DSD). This classification is based on the karyotype [2]. Radiological imaging plays an important role in demonstrating genital anatomy [4]. We report a case of true hermaphroditism in a 15-year-old girl to illustrate the role of radiological imaging in diagnosis of this rare condition, as well.

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