Complete androgen insensitivity syndrome
DOI:
https://doi.org/10.5377/alerta.v5i2.14397Keywords:
Androgen-insensitivity syndrome, testicular feminization , 46xy gonadal dysgenesis, androgen effect, disorder of sex differentiationAbstract
Presentation of the case. Phenotypically female patient, 18 years old, 46 XY karyotype, who was evaluated in a tertiary care center for pediatric medicine due to primary amenorrhea. Physical evaluation found adequate breast development, female external genitalia with slight hypoatrophy of the labia majora and minora, vaginal canal of 11 cm, ultrasound reports a linear rudimentary uterus and images suggestive of ovaries, magnetic resonance describes the presence of a bilobed tubular structure composed of two nodular images, which are located adjacent to the bladder wall in their aspect posterior, lateral and
superior right 27,4 × 15,4× 11,0 mm, left inguinal canal two images, one solid nodular, ovoid, isointense 37 × 21 × 13,8 mm (nodular), cystic 22,7 × 14,0 mm, congenital absence of uterus. Treatment. In the laparoscopic examination, the presence of gonads in the inguinal and para-bladder canals was detected, and both gonads were resected. Outcome. She was managed with analgesia, antibiotics and was discharged three days after surgery. The biopsy reported cryptorchidism of the right and left testis.
Downloads
549
PDF 225
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Rafael Alexis Contreras Cruz., Luis Ernesto Cortez Salvador, Luis Villalta Morales., Eduardo José Fuentes
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Privacy statement:
Alerta articles are published under license Creative Commons 4.0 CC BY: https://creativecommons.org/licenses/by/4.0/
Authorship rights
Revista Alerta gives the authors exclusive control of their work and the right to be acknowledged and cited.