EURORAD ESR

Case 11336

Androgen insensitivity syndrome

Author(s)
Leonardo Giarraputo, Sergio Savastano, Andrea Busolo, Alessandra Costantini, Maria Carmela Carè

U.O. Radiologia
Ospedale San Bortolo
V.le F. Rodolfi 37
36100 Vicenza, Italy
 
Patient
female, 11 year(s)
 
 
  • Figure 1
    Ultrasound
     

    The groin swelling is consistent with testis (left side).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Genetic defects;

    Abdominal ultrasound fails to detect uterus and ovaries; a small amount of free fluid occupies the rectovesical pouch.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Genetic defects;
     
     
  • Figure 2
    MRI of the pelvis.
     

    Sagittal T2w-MRI confirms absence of the uterus and the proximal two thirds of the vagina. The distal rudimental vagina is visible (arrow).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Genetic defects;

    Axial T2w-MRI just below the vesical neck demonstrates the close relationship between the urethra (arrow) and the rectum.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Genetic defects;

    Coronal T2w-MRI shows testes near to superficial inguinal rings. Female external genitalia are also evident.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Genetic defects;
     
     
The groin swelling is consistent with testis (left side).
 
Abdominal ultrasound fails to detect uterus and ovaries; a small amount of free fluid occupies the rectovesical pouch.
 
Sagittal T2w-MRI confirms absence of the uterus and the proximal two thirds of the vagina. The distal rudimental vagina is visible (arrow).
 
Axial T2w-MRI just below the vesical neck demonstrates the close relationship between the urethra (arrow) and the rectum.
 
Coronal T2w-MRI shows testes near to superficial inguinal rings. Female external genitalia are also evident.
 
 
 
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