PMC3530751_01
(a) and (b) Penoscrotal hypospadia assessed by two-dimensional ultrasound in the 27th week of pregnancy evaluated by abdominal approach, with clear visualization of scrotum and penis not visualized.
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Primigravida of 29 years old, with 33 weeks of pregnancy, was referred to Gynecology and Obstetrics Service, University Hospital, Federal University of Maranhao (UFMA), for sonographic evaluation due to a genital abnormality detected on 2DUS performed with 27 weeks of pregnancy. 2DUS reported a male fetus with scrotum, without testicles inside and with difficult visualization of the penis (Figure 1).
(a) and (b) Penoscrotal hypospadia assessed by three-dimensional ultrasonography in rendering mode, at 33 weeks of pregnancy, with short penis and with evidence of testicles inside a bifid scrotum.
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The 3DUS in rendering mode suggested a short penis, with bifid scrotum, containing testicles inside (Figure 2).
Penoscrotal hypospadia confirmed by clinical examination performed afterbirth with bifid scrotal aspect.
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After birth, clinical examination confirmed the diagnosis of penoscrotal hypospadia (Figure 3).