Diagnosis of Pseudo Hermaphrodite by MRI: A Case Report

Caroline Edward Ayad¹*, Ayman El-Mesellamy², and Elsafi Ahmed Abdalla¹

¹Sudan University of Science and Technology, Radiology Department, College of Medical Radiological Science, Khartoum-Sudan

²Radiology Department, Alzaytouna Specialist Hospital, University of Medical Science and Technology

*Corresponding   Author  E-mail:  carolineayad@yahoo.com; Tel:  +249183771818; Fax: +249183785215

Accepted 23 June, 2014

Abstract

Disorders of sex development, a term referring to a group of congenital conditions in which the development of the chromosomal, gonadal or anatomical sex has been out of character. A 28 years old Sudanese male married for three years with no children, presented with supra pubic and abdominal pain, burning sensation and burning micturation. For exclusion any urinary tract abnormalities, ultrasound examinations for abdomen and pelvis were obtained, and semen analyses was required. MRI images for abdomen and pelvis were requested to confirm or exclude the presence of the uterus and fallopian tube. Regarding the presented case, Ultrasonography should be considered as the initial imaging modality for the initial evaluation of hermaphrodite and because MRI has better soft tissue resolution to characterize gonads, differentiate between clitoral hypertrophy and micropenis. Karyotyping and biochemical assays are also important in the clinical evaluation and differentiation between the true and false hermaphrodite

Keywords: Pseudo Hermaphrodite, MRI, Sex