Laparoscopic bilateral gonadectomy in a phenotypic woman with a form of Leydig cell hypoplasia.
A 22-year-old phenotypic woman with an XY karyotype underwent laparoscopic gonadectomy after a comprehensive evaluation for primary amenorrhea. Pathology revealed primitive testicular support elements with absent Leydig cells bilaterally. This case illustrates the fact that, with a thorough preoperative workup, patients expressing various forms of male pseudohermaphroditism can now be treated appropriately by laparoscopy instead of laparotomy.
Qasim
S M
SM
UMDNJ-Robert Wood Johnson Medical School, Department of Obstetrics, Gynecology, 303 George Street, Suite 250, New Brunswick, NJ 08901, USA.
Sachdev
R
R
D000328:Adult; D012734:Disorders of Sex Development / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D007985:Leydig Cells / Q000473:pathology*; D008297:Male; D009095:Mullerian Ducts / Q000473:pathology; D010641:Phenotype; D013737:Testis / Q000002:abnormalities* / Q000601:surgery; D014928:Wolffian Ducts / Q000473:pathology