ArticleRadiology case reports2025
Ambiguous genitalia in a male patient misidentified as female, leading to inappropriate circumcision: A rare case report.
Article in Radiology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Ambiguous genitalia, a rare condition involving external genitalia that do not conform to typical male or female presentations, is often indicative of disorders of sexual development (DSD). A 12-year-old child from Somalia was initially assigned female due to ambiguous genitalia, including an enlarged clitoral structure and scrotal sac that the family mistakenly thought was a labia majora. This led to an inappropriate circumcision, mistaking the penis for a clitoris. The child was raised as female until secondary male sexual characteristics appeared at age 11, prompting medical evaluation. Diagnostic investigations confirmed the presence of male gonads and a typical male anatomical configuration. This case underscores the importance of early and comprehensive diagnostic evaluation to prevent misdiagnosis and inappropriate interventions. Improved healthcare awareness, access to specialized care, and a multidisciplinary approach to managing DSDs are crucial to prevent physical and psychological harm.
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