Document Detail

Hypospadias mimicking female genitalia on early second trimester sonographic examination.
MedLine Citation:
PMID:  18431748     Owner:  NLM     Status:  MEDLINE    
Female fetal sex was assigned based on downward direction of the genital tubercle at 14 weeks' gestation. Subsequently, amniocentesis performed due to the finding of an echogenic focus in the left ventricle revealed a male karyotype. Sonographic examination at 22 weeks' gestation revealed a markedly curved penile shaft. Power Doppler at that time demonstrated a urine jet emanating from the penile base, verifying the diagnosis of penoscrotal hypospadias. We therefore suggest that female fetal sex assignment should be based on the demonstration of the 2 or 4 parallel lines representing the labial folds and not only upon the demonstration of the downward direction of the genital tubercle.
Marwan Odeh; Ella Ophir; Jacob Bornstein
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical ultrasound : JCU     Volume:  36     ISSN:  1097-0096     ISO Abbreviation:  J Clin Ultrasound     Publication Date:    2008 Nov-Dec
Date Detail:
Created Date:  2008-10-20     Completed Date:  2009-02-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401663     Medline TA:  J Clin Ultrasound     Country:  United States    
Other Details:
Languages:  eng     Pagination:  581-3     Citation Subset:  IM    
Copyright Information:
(c) 2008 Wiley Periodicals, Inc.
Department of Obstetrics and Gynecology, Western Galilee Hospital, Rappaport Faculty of Medicine, Technion, Nahariya 22100, Haifa, Israel.
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MeSH Terms
Genitalia, Female / ultrasonography
Genitalia, Male / ultrasonography*
Hypospadias / ultrasonography*
Penis / ultrasonography
Pregnancy Trimester, Second
Sex Determination (Analysis)
Ultrasonography, Prenatal*

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