Endometriosis in a Prepubertal Patient with 46,XY Difference in Sex Development: A Case Report - 24/06/24

Doi : 10.1016/j.jpag.2024.05.002

Kelly T. Harris, MD ^1,^⁎ , Kellie Woodfield, MD ², Jenna Bodmer, MD ³, Anna Valentine, MD ⁴, Natalie J. Nokoff, MD ⁴, Duncan T. Wilcox, MD ¹, Veronica Alaniz, MD ²
¹ Department of Surgery, Division of Pediatric Urology, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus, Aurora, Colorado
² Department of Pediatric and Adolescent Gynecology, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus, Aurora, Colorado
³ Department of Pathology, Children's Hospital Colorado, Anschutz Medical Campus, Aurora, Colorado
⁴ Department of Pediatrics, Division of Endocrinology, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus, Aurora, Colorado

^⁎Address correspondence to: Kelly T. Harris, MD, Department of Surgery, Division of Pediatric Urology, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus, 13123 East 16th Avenue, Aurora, CO 80054.Department of Surgery, Division of Pediatric Urology, Children's Hospital ColoradoUniversity of Colorado Anschutz Medical Campus13123 East 16th AvenueAuroraCO80054

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Abstract

Introduction

Endometriosis typically presents in postmenarchal patients with cyclic and acyclic pelvic pain. However, there are reports of endometriosis in premenarchal patients.

Case

We report a 10-year-old individual with 46,XY difference of sex development who was found to have endometriosis at the time of laparoscopic gonadectomy for gonadoblastoma.