MALE PSEUDOHERMAPHRODITISM: CASE REPORT

A pseudohermaphrodite represents a human being whose gonads are consistent with the chromosomal sex but who has external genitalia resembling the opposite sex. Male pseudohermaphrodites are characterized by normal testes with insufficient masculinization of the wolffian duct system and external genitalia. Patients with female pseudohermaphroditism have female internal genitalia and karyotype (XX) and various degree of external genitalia virilization. We present the case of a fetus with male pseudohermaphroditism, detected at 21 weeks of pregnancy during the second trimester morphology exam, with no other anomalies present. The peculiarity of this case is represented by the fact that the initial supposition was of clitoral hypertrophy (female pseudohermaphroditism), but after amniocentesis incomplete masculinization causes are being explored (male pseudohermaphroditism).