Author:
Bbs Koui,Ad Abouna,Djiwa Toukilnan,B Traore,M Kouyate,Ke Kouame,Na Aman
Abstract
Abstract
Introduction
: Ovotestis is a rare cause of sexual ambiguity characterized by the presence in a patient of both testicular and ovarian tissue, leading to the development of both male and female structures. We report a case of ovotestis diagnosed in an adolescent, with a review of the literature.
Case Report
A 15-year-old patient presented with a right scrotal swelling associated with gynecomastia. Histology showed a juxtaposition of ovarian stroma with ovarian follicle and seminiferous tubules. Karyotype revealed a male subject (XY). We have therefore retained the diagnosis of ovotesticular disorders of sex development.
Conclusion
Ovotestis is a rare finding, heterogeneous in its genetic etiology and clinical presentation. While many patients are diagnosed during infancy or childhood, we presented a case diagnosed in a 15-year-old adolescent.
Publisher
Springer Science and Business Media LLC
Subject
Obstetrics and Gynecology,Reproductive Medicine,General Medicine
Reference20 articles.
1. Chouhan JD, Chu DI, Birs A, Pyle LC, Van Batavia JP, Linn RL, et al. Ovotestis in Adolescence: Two Case Reports Urology. 2017;105:171–4.
2. Talreja SM, Banerjee I, Yadav SS, Tomar V. A rare case of lateral ovotesticular disorder with Klinefelter syndrome mosaicism 46, XX/47, XXY: an unusual presentation. Urol Ann. 2015;7:520–3.
3. Ozsu E, Mutlu GY, Cizmecioglu FM, Ekingen G, Muezzinoglu B, Hatun S. Ovotesticular disorder of sexual development and a rare 46,XX/47,XXY karyotype. J Pediatr Endocrinol Metab JPEM. 2013;26:789–91.
4. Matsui F, Shimada K, Matsumoto F, Itesako T, Nara K, Ida S, et al. Long-term outcome of ovotesticular disorder of sex development: a single center experience. Int J Urol off J Jpn Urol Assoc. 2011;18:231–6.
5. Meftah A, Moumen A, Eljadi H, Gaouzi A. Ovotestis 46 xy: a propos d’un cas. Ann Endocrinol. 2016;77(4):481.