Left Hemiscrotal Agenesis and Right Scrotal Hypotrophy with Bilateral Cryptorchidism. Case Report
DOI:
https://doi.org/10.18041/2390-0512/biociencias.2.13669Keywords:
Agenesis, Ambiguous genitalia, Biological gender, PseudohermaphroditismAbstract
Scrotal agenesis is a rare malformation associated with cryptorchidism. It is part of the phenotypic variability of ambiguous genitalia that precludes the determination of biological sex. This article explains the embryological development of external and internal genitalia based on genetic, gonadal, and phenotypic differentiation, including the morphogenetic fields involved. The case involves a three-year-old patient with left scrotal agenesis and underdevelopment of the right scrotum, who was born at home and had not received medical care. Physical examination revealed a phallus with male characteristics and testicles in the inguinal regions. Once the diagnosis was established, treatment was initiated with topical dihydrotestosterone on the genital swellings and monitoring gonadoblastomas using tumor markers. The scrotums did not develop; an orchiectomy was performed, and the patient is currently under medical and psychological follow-up to support his social adjustment during puberty. The diagnosis is partial androgen insensitivity.
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