Can ambiguous genitalia be seen on ultrasound?
Can ambiguous genitalia be seen on ultrasound?
At 30 weeks of gestation, a scan of the fetal perineum demonstrated ambiguous genitalia which was confirmed at birth. This case demonstrates that when the fetal perineum is well visualized, the diagnosis of normal and abnormal genital development can be made sonographically.
Is ambiguous genitalia an emergency?
A defect at any level can lead to sexual ambiguity. The newborn with ambiguous genitalia constitutes a major social and medical emergency, as several conditions produce significant salt loss which, if unrecognized, may lead to shock and death.
How do you identify ambiguous genitalia?
Symptoms
- An enlarged clitoris, which may resemble a penis.
- Closed labia, or labia that include folds and resemble a scrotum.
- Lumps that feel like testes in the fused labia.
How common is ambiguous genitalia?
In about 1% of all births, babies have some form of ambiguous genitalia, such as a very large clitoris or very small penis. In more rare cases—between 0.1% and 0.2% of live births—genitalia is so ambiguous that medical specialists are brought in for a consultation.
What do hermaphrodites genitalia look like?
The characteristic imaging feature of true hermaphroditism is the presence of an ovotestis or of one testis and one ovary in the same patient. An ovotestis may be seen as a structure with a combination of testicular echo-texture and follicles.
How do you manage ambiguous genitalia?
For girls with ambiguous genitalia, the sex organs may work normally despite the ambiguous outward appearance. If a girl’s vagina is hidden under her skin, surgery in childhood can help with sexual function later. For boys, surgery to reconstruct an incomplete penis may normalize appearance and make erections possible.