True hermaphroditism: Sonographic demonstration of ovotestes

W. Eberenz, H. K. Rosenberg, T. Moshang, J. Chatten, M. A. Keating

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


A 15-year-old boy with normal external genitalia presented with severe bilateral gynecomastia, intermittent painful scrotal swelling, and a recent history of scrotal trauma. Ultrasound (US) revealed testicles of normal size with diffusely heterogeneous echotexture due to scattered cysts. Ovotestes were found at surgery and pathologic examination. Bilateral partial gonadectomies were performed. Four months later he had testicular pain and swelling. US revealed bilateral multiseptate cystic masses. After repeat surgery, he is now free of symptoms. The diagnosis of true hermaphroditism and ovotestis should be considered in a phenotypic male adolescent with gynecomastia when testicular parenchyma is heterogeneous at US because of multiple scattered cysts.

Original languageEnglish
Pages (from-to)429-431
Number of pages3
Issue number2
StatePublished - 1991
Externally publishedYes


  • Scrotum, US Studies, 847.1298
  • Scrotum, abnormalities, 847.1479
  • Sex, 847.1479
  • Testis, US studies, 847.1298
  • Testis, cysts, 847.1479, 847.3113


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