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KMID : 0358420120550030209
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Korean Journal of Obstetrics and Gynecology
2012 Volume.55 No. 3 p.209 ~ p.212
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Laparoscopic gonadectomy of streak gonads within the inguinal canals in a patient with XY partial gonadal dysgenesis
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Song Mi-Hyun
Ahn Byul-Nim
Kim Hae-Kyung
Oh Hoon-Kyu
Lee Tae-Sung
Choi Youn-Seok
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Abstract
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A 33-year-old phenotypic female presented with primary amenorrhea. The physical examination revealed no breast development, scanty axillary and pubic hair, normal female external genitalia, and a short blind vagina. The findings of magnetic resonance imaging, karyotyping, and hormonal examinations supported the diagnosis of XY partial gonadal dysgenesis. Laparoscopic surgery showed that spermatic cords, including the bilateral streak gonads and epididymes, were within the inguinal canals. After opening the spermatic cords and identifying the lower borders of the streak gonads, the spermatic cords were transected at the level of the vas deferens. A prophylactic herniorrhaphy using polyprophylene mesh was performed due to weakening of the internal inguinal ring. Pathologic evaluation of the gonads confirmed the diagnosis of partial gonadal dysgenesis without evidence of malignancy. A laparoscopic approach is feasible for treatment of XY gonadal dysgenesis, even if the streak gonads are present within the inguinal canal.
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KEYWORD
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Laparoscopy, Gonadectomy, Gonadal dysgenesis, Inguinal canal, Streak gonad
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