Journal of

Case Reports and Images in Urology

 
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Case Report
 
Testicular feminization in a male pseudohermaphrodite: A case report
Fadhil Ahmmed Mohialdeen1, Fahmi Hussein Kakamad2, Mohammed I. M. Gubari3
1MBChB, FICMS, FACS, Sulaimanyiah Polytechnic University, Health Technical College, Chwarchra, Sulaimanyiah. Kurdistan, Iraq.
2MBChB, Faculty of Medical Sciences, School of Medicine/Department Cardiothoracic and Vascular Surgery, University of Sulaimaniya, François Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq.
3MSc, HDCM, Sulaimanyiah Polytechnic University, Health Technical College, Chwarchra, Sulaimanyiah, Kurdistan Iraq.

Article ID: 100002Z15FM2016
doi:10.5348/Z15-2016-2-CR-2

Address correspondence to:
Fahmi Hussein Kakamad
MBChB, Faculty of Medical Sciences
School of Medicine/Department Cardiothoracic and Vascular Surgery
University of Sulaimaniya, François Mitterrand Street, Sulaymaniyah, Kurdistan
Iraq

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How to cite this article:
Mohialdeen FA, Kakamad FH, Gubari MIM. Testicular feminization in a male pseudohermaphrodite: A case report. J Case Rep Images Urol 2016;1:4–7.


Abstract
Introduction: Hermaphroditism is a condition in which the patient has both male and female sexual characteristics either partially or completely. It is classified into true and pseudohermaphroditism. Patients with male pseudohermaphroditism have male internal genitalia and karyotype (XY). We report a rare case of male pseudohermaphrodite who grew up as a female and insisted to live as female for rest of her life in spite of developing male body build.
Case Report: A 26-year-old patient presented with bilateral inguinal swellings since birth. Clinical examination showed bilateral inguinal swellings which were reducible manually with positive cough impulses, hypertrophied clitoris or rudimentary penis, without vaginal orifice. She was grown up as female among her family. Diagnostic workup showed that both hernial sacs contain testicles with the absence of ovaries, fallopian tubes and uterus. Hormonal and enzymatic assay were normal including 5-alpha reductase. During surgical operation; both hernial sacs were repaired, testicles were removed through two inguinal incisions. The histopathological report confirmed mature testes. The postoperative follow up was uneventful.
Conclusion: Male pseudohermaphroditism is a rare cause of intersexuality and its etiology could be idiopathic. Patient may insist on being female in spite of development of male body build and presence of male internal genitalia.

Keywords: 5-alpha reductase, Feminization, Intersexuality, Male pseudohermaphroditism


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Author Contributions
Fadhil Ahmmed Mohialdeen – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Fahmi Hussein Kakamad – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mohammed I. M. Gubari – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Fadhil Ahmmed Mohialdeen et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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