True hermaphroditism presenting as bilateral gynecomastia in an adolescent phenotypic male.
OBJECTIVE
To report a rare case of true hermaphroditism presenting in adolescence as bilateral gynecomastia in a phenotypic male.


METHODS
Case report.


METHODS
Academic medical center.


METHODS
A 19-year-old phenotypic male who presented with pronounced bilateral gynecomastia and was ultimately diagnosed with true hermaphroditism.


METHODS
Endoscopic removal of the internal female genital tract (hemiuterus and ovary), reduction mammoplasty, repair of penile chordee, and left testicular prosthesis placement.


METHODS
Diagnosis and treatment of true hermaphroditism.


RESULTS
Bilateral mammoplasties, repair of a penile chordee, placement of a left testicular prosthesis, and excision of the left hemiuterus and ovary resulted in return to testicular function in this true hermaphrodite.


CONCLUSIONS
Although rare, true hermaphroditism should be suspected in male patients presenting with bilateral breast enlargement in adolescence.
Ouhilal
Sophia
S
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
Turco
Jack
J
Nangia
Ajay
A
Stotland
Mitchell
M
Manganiello
Paul D
PD
D000328:Adult; D012734:Disorders of Sex Development / Q000175:diagnosis* / Q000235:genetics / Q000601:surgery; D005260:Female; D006177:Gynecomastia / Q000175:diagnosis* / Q000235:genetics / Q000601:surgery; D006801:Humans; D007021:Hypospadias / Q000601:surgery; D007044:Hysterectomy; D007621:Karyotyping; D008297:Male; D016462:Mammaplasty; D010052:Ovariectomy; D010413:Penis / Q000601:surgery; D010641:Phenotype; D019736:Prostheses and Implants; D012723:Sex; D013737:Testis / Q000601:surgery; D014599:Uterus / Q000002:abnormalities / Q000601:surgery