EURORAD ESR

Case 15978

Mixed gonadal dysgenesis

Author(s)
Dr Alka Ashmita Singhal, Dr Ganesh Jevalikar1, Dr Kulbir Ahalawat

Medanta Division of Radiology and Nuclear Medicine; 1Medanta Division of Endocrinology and Diabetes, Medanta The Medicity Hospital, Sector 38 Gurugram 122002 Delhi, India; Email:dr.alkaasinghal@gmail.com
 
Patient
male, 1 month(s)
 
 
  • Figure 1
    Patient photograph of external genitalia
     

    Figure 1 (a,b) : Patient photograph showing ambiguous genitalia.Enlarged phallus and a small scrotal sac with skin rugosities is noted.

     
    Area of Interest: Paediatric; Imaging Technique: Image manipulation / Reconstruction; Procedure: eLearning; Special Focus: Endocrine disorders;

    Figure 1 (a,b) : Patient photograph showing ambiguous genitalia.Enlarged phallus and a small scrotal sac with skin rugosities is noted.

     
    Area of Interest: Paediatric; Imaging Technique: Image manipulation / Reconstruction; Procedure: eLearning; Special Focus: Endocrine disorders;
     
     
  • Figure 2
    Figure 2 (a,b,c) MRI Pelvis -T2 weighted images
     

    Mid-Sagittal pelvic T2 weighted images showing an infantile uterus interposed between bladder and rectum. Faint endometrial stripe is appreciated

     
    Area of Interest: Genital / Reproductive system female; Genital / Reproductive system male; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    T2 weighted axial pelvic images showing an infantile uterus interposed between bladder and rectum.

     
    Area of Interest: Genital / Reproductive system female; Genital / Reproductive system male; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Coronal T2 Weighted images(c)showing bilateral well defined oval intermediate signal intensity areas in both inguinal canals, resembling testis. No follicular tissue is seen.

     
    Area of Interest: Genital / Reproductive system female; Genital / Reproductive system male; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;
     
     
  • Figure 3
    Ultrasound pelvis
     

    Figure 3a Pelvic ultrasound of 1-month old child-Longitudinal scan showing well delineated uterus located just posterior to the urinary bladder. Cervix and vagina well seen. Endometrial stripe is appreciated.

     
    Area of Interest: Genital / Reproductive system female; Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Figure 3 b Pelvic ultrasound showing well delineated uterus located just posterior to the urinary bladder (empty in this case) Cervix and vagina well seen. Endometrial stripe is appreciated and marked.

     
    Area of Interest: Genital / Reproductive system female; Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Figure 3 c Pelvic ultrasound showing well delineated uterus marked with asterix, located just posterior to the urinary bladder (empty in this case) Cervix and vagina well seen.

     
    Area of Interest: Genital / Reproductive system female; Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;
     
     
  • Figure 4
    Ultrasound groin
     

    Figure 4a Ultrasound groin-Longitudinal scan of right inguinal region showing well defined ovoid homogenous solid area suggestive of right testis located in the left inguinal canal.

     
    Area of Interest: Genital / Reproductive system female; Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Figure 4b Ultrasound groin-Longitudinal scan of left inguinal region showing well defined ovoid homogenous solid area suggestive of left testis located in the left inguinal canal.

     
    Area of Interest: Genital / Reproductive system female; Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;
     
     
Figure 1 (a,b) : Patient photograph showing ambiguous genitalia.Enlarged phallus and a small scrotal sac with skin rugosities is noted.
 
Figure 1 (a,b) : Patient photograph showing ambiguous genitalia.Enlarged phallus and a small scrotal sac with skin rugosities is noted.
 
Mid-Sagittal pelvic T2 weighted images showing an infantile uterus interposed between bladder and rectum. Faint endometrial stripe is appreciated
 
T2 weighted axial pelvic images showing an infantile uterus interposed between bladder and rectum.
 
Coronal T2 Weighted images(c)showing bilateral well defined oval intermediate signal intensity areas in both inguinal canals, resembling testis. No follicular tissue is seen.
 
Figure 3a Pelvic ultrasound of 1-month old child-Longitudinal scan showing well delineated uterus located just posterior to the urinary bladder. Cervix and vagina well seen. Endometrial stripe is appreciated.
 
Figure 3 b Pelvic ultrasound showing well delineated uterus located just posterior to the urinary bladder (empty in this case) Cervix and vagina well seen. Endometrial stripe is appreciated and marked.
 
Figure 3 c Pelvic ultrasound showing well delineated uterus marked with asterix, located just posterior to the urinary bladder (empty in this case) Cervix and vagina well seen.
 
Figure 4a Ultrasound groin-Longitudinal scan of right inguinal region showing well defined ovoid homogenous solid area suggestive of right testis located in the left inguinal canal.
 
Figure 4b Ultrasound groin-Longitudinal scan of left inguinal region showing well defined ovoid homogenous solid area suggestive of left testis located in the left inguinal canal.
 
 
 
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