P50Ultrasonographic research of gonadas at a true hermaphroditismis

Abstract

BackgroundThe differential diagnosis between the various forms of violation of a structure of gonadas at the patients with a female phenotype represents a problem, especially at a primary inspection.MethodWe represent a case of ultrasonographic diagnostics an ovotestis at a true hermaphroditismis in our practice. There was used linear transabdominal and convex transrectal transducers on ultramark‐9 device.ResultsThe young woman (17yo) who has addressed to the gynecologist concerning a primary amenorrhoea, was examined by ultrasound in the Hospital. There were detected a male's structure internal sexual ductuses and presence of gonadas located below usual position of ovaries with structure, estimated as a testicula. The Morris syndrome was diagnosed. At the consequent inspection in center, specializing in genetic ultrasound, specific echostructure of the gonadas was detected, appropriated to their mixed structure (ovotestis), thus a true hermaphroditismis with a female phenotype was diagnosed. The consequent karyotyping (46XX/46XY (16:4)) has confirmed the preliminary ultrasonographic diagnosis.ConclusionThe sufficient qualification of the sonographist conducting a ultrasonic research, knowledge of a ultrasonographic picture of the this pathology, allows correct diagnostics already before lab stage of an inspection, using even the routine equipment and review.