Rare variant of ovotesticular disorder of sex development diagnosed due to injury-induced rupture of the reproductive gland in a patient with SRY-negative 46,ХХ karyotype (clinical case)

The clinical case of a rare variant of disorder of sex development (DSD) is described. This disorder was diagnosed with an emergency operation for the traumatic rupture of the gonad. A patient (14 years old) with a male phenotype and lack of muller duct derivatives had a female SRY negative karyotyp...

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Main Authors: A. B. Okulov, E. A. Volodko, O. Yu. Latyshev, D. N. Godlevsky, E. V. Timokhovich, K. K. Mirakov, K. S. Nikitin, A. V. Anikiev
Format: Article
Language:Russian
Published: ABV-press 2021-02-01
Series:Андрология и генитальная хирургия
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Online Access:https://agx.abvpress.ru/jour/article/view/463
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author A. B. Okulov
E. A. Volodko
O. Yu. Latyshev
D. N. Godlevsky
E. V. Timokhovich
K. K. Mirakov
K. S. Nikitin
A. V. Anikiev
author_facet A. B. Okulov
E. A. Volodko
O. Yu. Latyshev
D. N. Godlevsky
E. V. Timokhovich
K. K. Mirakov
K. S. Nikitin
A. V. Anikiev
author_sort A. B. Okulov
collection DOAJ
description The clinical case of a rare variant of disorder of sex development (DSD) is described. This disorder was diagnosed with an emergency operation for the traumatic rupture of the gonad. A patient (14 years old) with a male phenotype and lack of muller duct derivatives had a female SRY negative karyotype (46,XX) and an ovotesticular gonad structure as a result of duplication in the regulatory zone of the SOX9 gene. Ovotesticular disorders of sex development with karyotype 46,XX, as a rule, are accompanied by an ambiguous genitalia and derivatives of the muller structures. Early diagnosis of the described variant of DSD was difficult due to the development of male type genitalia. Timely identification of DSD including the presented option of DSD, is possible during routine examinations of the urologist with mandatory ultrasound examination of the scrotum and pelvis.
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spelling doaj.art-bb33aa694d2e4c60af0887b1e2885a132023-03-13T07:15:10ZrusABV-pressАндрология и генитальная хирургия2070-97812021-02-012149810210.17650/2070-9781-2020-21-4-98-102392Rare variant of ovotesticular disorder of sex development diagnosed due to injury-induced rupture of the reproductive gland in a patient with SRY-negative 46,ХХ karyotype (clinical case)A. B. Okulov0E. A. Volodko1O. Yu. Latyshev2D. N. Godlevsky3E. V. Timokhovich4K. K. Mirakov5K. S. Nikitin6A. V. Anikiev7Russian Medical Academy of Continuing Professional Education, Ministry of Health of RussiaRussian Medical Academy of Continuing Professional Education, Ministry of Health of RussiaRussian Medical Academy of Continuing Professional Education, Ministry of Health of RussiaRussian Medical Academy of Continuing Professional Education, Ministry of Health of RussiaZ.A. Bashlyaeva Children’s City Clinical Hospital, Moscow Healthcare DepartmentZ.A. Bashlyaeva Children’s City Clinical Hospital, Moscow Healthcare DepartmentNational Medical Research Center for EndocrinologyNational Medical Research Center for EndocrinologyThe clinical case of a rare variant of disorder of sex development (DSD) is described. This disorder was diagnosed with an emergency operation for the traumatic rupture of the gonad. A patient (14 years old) with a male phenotype and lack of muller duct derivatives had a female SRY negative karyotype (46,XX) and an ovotesticular gonad structure as a result of duplication in the regulatory zone of the SOX9 gene. Ovotesticular disorders of sex development with karyotype 46,XX, as a rule, are accompanied by an ambiguous genitalia and derivatives of the muller structures. Early diagnosis of the described variant of DSD was difficult due to the development of male type genitalia. Timely identification of DSD including the presented option of DSD, is possible during routine examinations of the urologist with mandatory ultrasound examination of the scrotum and pelvis.https://agx.abvpress.ru/jour/article/view/463ovotestisgonadal ruptureduplication in the regulatory zone of the sox9 gene
spellingShingle A. B. Okulov
E. A. Volodko
O. Yu. Latyshev
D. N. Godlevsky
E. V. Timokhovich
K. K. Mirakov
K. S. Nikitin
A. V. Anikiev
Rare variant of ovotesticular disorder of sex development diagnosed due to injury-induced rupture of the reproductive gland in a patient with SRY-negative 46,ХХ karyotype (clinical case)
Андрология и генитальная хирургия
ovotestis
gonadal rupture
duplication in the regulatory zone of the sox9 gene
title Rare variant of ovotesticular disorder of sex development diagnosed due to injury-induced rupture of the reproductive gland in a patient with SRY-negative 46,ХХ karyotype (clinical case)
title_full Rare variant of ovotesticular disorder of sex development diagnosed due to injury-induced rupture of the reproductive gland in a patient with SRY-negative 46,ХХ karyotype (clinical case)
title_fullStr Rare variant of ovotesticular disorder of sex development diagnosed due to injury-induced rupture of the reproductive gland in a patient with SRY-negative 46,ХХ karyotype (clinical case)
title_full_unstemmed Rare variant of ovotesticular disorder of sex development diagnosed due to injury-induced rupture of the reproductive gland in a patient with SRY-negative 46,ХХ karyotype (clinical case)
title_short Rare variant of ovotesticular disorder of sex development diagnosed due to injury-induced rupture of the reproductive gland in a patient with SRY-negative 46,ХХ karyotype (clinical case)
title_sort rare variant of ovotesticular disorder of sex development diagnosed due to injury induced rupture of the reproductive gland in a patient with sry negative 46 хх karyotype clinical case
topic ovotestis
gonadal rupture
duplication in the regulatory zone of the sox9 gene
url https://agx.abvpress.ru/jour/article/view/463
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