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An Uncommon Finding: Ovotestes in a True Hermaphrodite

Theresa M. Adams, RT, RDMS

Kim A. Dunn, RT, RDMS

Sara M. O’Hara, MD

A true hermaphrodite is an individual who is found to have both testicular and ovarian tissue; ovotestes is the most common gonad. True hermaphroditism is a rare intersex disorder reported in less than 500 patients. This patient population typically presents with ambiguous genitalia, hypospadius, and often an associated bifid scrotum; 90% go on to develop gynecomastia. Although some patients are diagnosed in the newborn period, only 20% are diagnosed prior to the age of 5 years. In this case report, the authors describe these classic findings and the use of advanced ultrasound technology, which contributed to this rare diagnosis.

Key Words: true hermaphrodite • ambiguous genitalia • karyotype • phenotype • intersex • ovotestis • gynecomastia

Journal of Diagnostic Medical Sonography, Vol. 19, No. 1, 51-54 (2003)
DOI: 10.1177/8756479302239553


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