title: Laparoscopic evaluation and management of a child with ambiguous genitalia, ectopic spleen, and Meckel's diverticulum.
abstract: Laparoscopy may be helpful in the evaluation and management of the child with intersex. Laparoscopic excision of dysgenetic gonads may be necessary due to the increased risk of malignancy. Residual müllerian duct structures are removed to prevent symptomatic complications at puberty. We present the case of a laparoscopic evaluation and management of a 46XY child with ambiguous genitalia, as well as the laparoscopic management of two unrelated anomalies discovered at the time of surgery.
authors.affiliation: Department of Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.
authors.forename: T V
authors.initials: TV
authors.lastname: Martin
authors.forename: K R
authors.initials: KR
authors.lastname: Anderson
authors.forename: R M
authors.initials: RM
authors.lastname: Weiss
mesh_terms: D012734:Disorders of Sex Development / Q000175:diagnosis / Q000601:surgery*; D006059:Gonadal Dysgenesis / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007021:Hypospadias / Q000175:diagnosis; D007223:Infant; D007621:Karyotyping; D010535:Laparoscopy; D008297:Male; D008467:Meckel Diverticulum / Q000175:diagnosis / Q000601:surgery*; D009095:Mullerian Ducts / Q000601:surgery; D009369:Neoplasms / Q000209:etiology; D012307:Risk Factors; D012611:Scrotum / Q000002:abnormalities; D013154:Spleen / Q000002:abnormalities* / Q000601:surgery