Kuribayashi Sohei, Kitakaze Hiroaki, Okusa Takuya, Okada Koichi, Matsuoka Yasuhiro, Miyagawa Yasushi, Yoshioka Toshiaki
The Department of Urology, Sumitomo Hospital.
Hinyokika Kiyo. 2019 May;65(5):181-184. doi: 10.14989/ActaUrolJap_65_5_181.
A 48-year-old female was referred to our hospital for further urological examination of primary amenorrhea. She had been suffering from amenorrhea since 12 years old. Although she had normal female external genitalia, she had a blind-ended vagina with complete absence of the uterus.Laboratory tests showed high testosterone level and the 46 XY karyotype. Thus, our diagnosis was androgen insensivity syndrome. Magnetic resonance imaging showed bilateral intra-abdominal testes. We performed laparoscopic bilateral gonadalectomy. Pathological diagnosis was seminoma in the right gonad. She is free of recurrence 6 months after operation.
