title: True hermaphroditism presenting as bilateral gynecomastia in an adolescent phenotypic male.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
authors.forename: Sophia
authors.initials: S
authors.lastname: Ouhilal
authors.forename: Jack
authors.initials: J
authors.lastname: Turco
authors.forename: Ajay
authors.initials: A
authors.lastname: Nangia
authors.forename: Mitchell
authors.initials: M
authors.lastname: Stotland
authors.forename: Paul D
authors.initials: PD
authors.lastname: Manganiello
mesh_terms: 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