Clinical_Rounds_in_Endocrinology_Volume_II_-_Pediatric_Endocrinology

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a b

c

Fig. 9.9 ( a – c ) A 20-year-old individual presented with bilateral non-palpable testes and no genital
ambiguity. CEMRI could not localize any gonadal tissue and testosterone response to hCG was
undetectable. He was diagnosed to have hypergonadotropic hypogonadism due to vanishing testes
syndrome. The patient is on testosterone replacement therapy

9 Disorders of Sex Development