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A 17-day-old black neonate presented with ambiguous genitalia. A sharp line separated hypopigmented skin on the left side of the abdomen from normally pigmented skin on the right side. A pendulous, wrinkled labioscrotal fold contained a gonad on the right side. In contrast, the hypoplastic, flat, left side was empty. A palpable left inguinal mass could not be clearly characterized with the use of ultrasonography. The phallus was 3 cm in length, with perineal hypospadias (inset) and 30-degree chordee. Testing revealed 46,XX/46,XY mosaicism and normal levels of male hormones. Laparoscopic surgery was performed; on the left side a hemiuterus, a . . . [Full Text of this Article] |
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