Nakamura M, Nojima M, Namiki M, Nakano E, Okuyama A, Sonoda T, Sakamoto H
Hinyokika Kiyo. 1986 May;32(5):769-72.
A 23-year-old man was admitted to Osaka University Hospital with complaints of breast enlargement and defect of bilateral scrotal content. A gonad-like organ could be palpable at bilateral inguinal area and pubic hair was a female escutcheon in spite of complete male phenotype for both external genitalia and posterior urethra by retrograde urethrogram. Decreased serum value of testosterone and increased the serum value of estradiol and progesterone were found by endocrinological evaluation. Karyotype derived from skin fibroblast and peripheral lymphocyte was 46, XX and H-Y antigen was detected. Exploratory laparotomy disclosed uterus and bilateral ovotestis with epididymis, seminal vesicle and Fallopian tube. The patient received gonadectomy, hysterectomy and insertion of testicular prosthesis.
一名23岁男性因乳房增大及双侧阴囊内容物缺损而入住大阪大学医院。双侧腹股沟区可触及性腺样器官，尽管逆行尿道造影显示外生殖器和后尿道均为完全男性表型，但阴毛呈女性分布。内分泌评估发现血清睾酮值降低，雌二醇和孕酮值升高。皮肤成纤维细胞和外周淋巴细胞的核型为46,XX，且检测到H-Y抗原。剖腹探查发现子宫及双侧卵睾，伴有附睾、精囊和输卵管。该患者接受了性腺切除术、子宫切除术及睾丸假体植入术。
