Bilateral Gonadal Cysts and Late Diagnosis of Androgen Insensitivity Syndrome Treated by Laparoscopic Gonadectomy

Abstract EN

Background.

Complete androgen insensitivity syndrome is a rare syndrome in which the uterus is absent and testes rather than ovaries are present.

Patients usually visit a gynecologist due to primary amenorrhea.

Case.

A forty-eight-year-old woman with lower abdominal pain and anamnesis of uterus agenesis was operated on due to bilateral cystic masses.

A 5 × 3 × 1.2 cm left adnexal cyst revealed the presence of a serous cyst with a hypoplastic ductus deferens.

A smaller cyst of the right adnexa revealed immature testis tissue with Leydig-cell hyperplasia.

After karyotype and hormonal examinations, laparoscopic gonadectomy was performed.

Conclusion.

Attention should be paid in all cyst-removing operations in cases of uterus agenesis, due to the high incidence of malignancy.

Not of less importance is the issue of informing the patient in the most appropriate way.