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Case Reports in Urology
Volume 2015, Article ID 598138, 3 pages
Case Report

A Case of True Hermaphroditism Presenting as a Testicular Tumour

1Department of Pathology, Mater Dei Hospital, Tal-Qroqq MSD 2090, Malta
2Department of Urology, Mater Dei Hospital, Tal-Qroqq MSD 2090, Malta
3Department of Genetics, Mater Dei Hospital, Tal-Qroqq MSD 2090, Malta

Received 7 December 2014; Accepted 17 January 2015

Academic Editor: Francesco M. Solivetti

Copyright © 2015 Michelle Ceci et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


True hermaphroditism represents only 5% cases of all of disorders of sexual differentiation (DSD) and usually present in early childhood with ambiguous genitalia. Occasionally, cases might present later on in adolescence with problems of sexual maturation. Our case report presents a true hermaphrodite with normal male phenotype that presented as a left testicular mass, two years after being diagnosed with Sertoli cell only syndrome in the contralateral testis. Histological examination of the left testis showed ovarian, fallopian tube, myometrial, endometrial, and epididymal tissue. This combination of findings is found in approximately one-third of true hermaphrodites, but it is very rare to present clinically as an inguinoscrotal mass.