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CASE REPORT
Year : 2012  |  Volume : 2  |  Issue : 3  |  Page : 115-117

Complete androgen insensitivity syndrome: An uncommon presentation with acute abdomen


1 Consultant Endocrinologist, Employees State Insurance Hospital, Hyderabad, Andhra Pradesh, India
2 Consultant Biochemist, Prime Hospital, Hyderabad, Andhra Pradesh, India
3 Consultant Endocrinologist, Advanced Endocrine and Diabetes Hospital, KPHB, Hyderabad, Andhra Pradesh, India
4 Consultant Gynaecologist, Advanced Endocrine and Diabetes Hospital, KPHB, Hyderabad, Andhra Pradesh, India

Correspondence Address:
Dr. Babul Reddy Hanmayyagari
Flat No - 507, Emerald Block, My Home Jewel, Madinaguda, Hyderabad - 500 049, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2249-4855.132953

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The typical presentation of complete androgen insensitivity syndrome (CAIS) is with an inguinal hernia in an infant or a child and with primary amenorrhea in adult phenotypic female. We hereby report a case reared as a female and considered to have primary amenorrhea, who presented with acute abdomen, provisionally diagnosed to have torsion of ovary and underwent laparoscopic gonadectomy. Histopathology revealed gangrenous testicular tissue; karyotyping was 46XY. So, finally, a diagnosis of complete androgen insensitivity with torsion of intra-abdominal testis was made. We also discuss the rarity of such a presentation, risk of neoplasia, and timing of gonadectomy in such patients.


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