Ovotesticular Disorder of Sex Development Presenting as an Acute Scrotum

Clinical Heterogenicity in Children with Ovotesticular Disorder of Sex Development: Experience at Children’s Hospital of Mexico Federico Gomez

“…Most of the patients were reared as males with no gender reassignment during the follow-up. This gender of rearing is in line with the reported literature [8].…”

“…Other forms of late presentation are cyclic hematuria, phenotypic female with masculinization at puberty and there are reported cases of testicular torsion related to ovotesticular DSD. Cyclic and intermittent scrotal pain, and hematuria can be attributed to the cyclic action of the estrogens in the ovarian part of the ovotesticles [4,8].…”

“Waking up” the sleeping metaphor of normality in connection to intersex or DSD: a scoping review of medical literature

“…One paper (Roen et al, 2018 ) expressed its critique on the term “disorder” by placing it between hyphens. The word hermaphrodite was mentioned in 10 of 75 papers (Barham et al, 2016 ; Caputo et al, 2019 ; Greeley et al, 2017 ; Hernández et al, 2016 ; Mirshahvalad et al, 2018 ; Özdemir et al, 2019 ; Rich et al, 2016 ; Schteingart et al, 2019 ; Şimşek et al, 2016 ; Yan et al, 2019 ), often in the context of ovotesticular DSD. Five papers used the outdated term to indicate that this condition was “previously known” as hermaphroditism (Barham et al, 2016 ; Caputo et al, 2019 ; Özdemir et al, 2019 ; Rich et al, 2016 ; Şimşek et al, 2016 ), 4 studies used it as a mere synonym (Greeley et al, 2017 ; Mirshahvalad et al, 2018 ; Schteingart et al, 2019 ; Yan et al, 2019 ) and only one article explicitly stated that the term has been replaced because it was considered stigmatizing (Hernández et al, 2016 ) (see Tables 2 , 3 , 4 , 5 , 6 ).…”

“…In most cases, they were close-ups of genitals—mainly from infants or children (AbouZeid & Mohammad, 2020 ; Barham et al, 2016 ; Baskin, 2017 ; Deeb et al, 2016 ; Fadil Iturralde et al, 2020 ; Goncalves et al, 2019 ; Heo et al, 2018 ; Jayanthi et al, 2017 ; Jesus et al, 2018 ; Kearsey & Hutson, 2017 ; Marei et al, 2016 ; Matsumoto et al, 2017 ; Morozumi et al, 2018 ; Nasir et al, 2019 ; Ochi et al, 2019 ; Saikia et al, 2019 ; Şimşek et al, 2016 ; Sperling & Meyer, 2017 ; Wagner-Mahler et al, 2019 ), but in a few cases also of adolescents (Chouhan et al, 2017 ; Hunter et al, 2016 ; Tambo et al, 2016 ) and adults (Larios García & Bautista Delgado, 2016 ; Patil et al, 2019 ; Singh et al, 2016 ). Three papers also contained images of breasts (Singh et al, 2016 ) and/or fully body shots (Khare et al, 2017 ; Mirshahvalad et al, 2018 ) of adolescents whose eyes were obscured with a black line. One paper contained images of the genitals of both children and adolescents (Raveenthiran, 2017 ).…”

“…normal hair growth, normal pubic hair development, normal facial and axillary hair). Given that these secondary sex features mark adult maturation, also pubertal processes were regularly cited in the literature (Fabbri et al, 2016 ; Greeley et al, 2017 ; Heo et al, 2018 ; Hernández et al, 2016 ; Hertweck & Rothstein, 2019 ; Huang et al, 2019 ; Hunter et al, 2016 ; Kearsey & Hutson, 2017 ; Mirshahvalad et al, 2018 ; Morandi et al, 2018 ; Özdemir et al, 2019 ; Pranckėnienė et al, 2019 ; Schteingart et al, 2019 ). Examples include: normal pubertal development, normal puberty, normal growth, normal menstruation, abnormal virilization, normally masculinized males, sexually abnormal, normal fertility, reproductive abnormalities, normal fertility potential) (see Fig.…”