Abstract

What's already known about this topic? Cell-free fetal DNA testing has become an established tool for trisomies 13, 18, and 21 screening in pregnancy, as well as for sex chromosome aneuploidies. It has not been a part of clinical care for long enough to present us with clear information on rare cases of disorders of sex development. What does this study add? This case shows that cell-free fetal DNA testing was likely able to detect Y chromosome material present in the fetal genome, regardless of its location. This case underscores the notion that special attention should be paid to cases in which there is a gender discrepancy, whether it involves cell-free fetal DNA testing, ultrasound scans, or diagnostic tests, as it may represent a rare chromosomal or genetic condition.

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