Snapshot quiz 15/10

Published: 10/07/2015

Authors: Bishay M and Woodward M

An oedematous gonad is shown. A herniated ovary is occasionally encountered during hernia surgery in girls, and reduction and hernia repair are generally straightforward. A herniated testicle may be seen in 1–2 per cent of phenotypically normal girls, indicating a diagnosis of complete androgen insensitivity syndrome in a child with an XY karyotype. If a testicle is encountered, or if the nature of the gonad is unclear as in this example, the gonad should still be reduced, the hernia repaired and blood taken for a karyotype. This girl had a normal XX karyotype and the gonad was an oedematous ovary.