Ovotesticular (OT) disorder of sex development (DSD) is a rare condition that affects the development of reproductive organs and manifests in a wide range of phenotypic presentations. The clinical diagnosis of this condition is challenging because of its atypical nature, and the variability of presentation in 46,XX OT-DSD cases makes it a complex issue in medical practice. We report a case of a 13-year-old boy who presented with left scrotal pain. Further exploration revealed a tunica rupture without testicular torsion of the left testis, whereas the histopathological analysis of a nodule excised from the right testis indicated the presence of ovotestis tissues. A second nonemergent surgery preserved the testicular tissues as the ovarian tissue in both gonads was excised. After 22 months of follow-up, the patient's testes produced normal testosterone levels sustained over time without any exogenous supplementation. This case reveals that, in male children who present with an acute scrotal disease as adolescents, the gonads should be retained until the etiology is confirmed, and the possibility of OT-DSD should be considered.

中文翻译：

---

卵睾性发育障碍表现为阴囊急症。

卵睾 (OT) 性发育障碍 (DSD) 是一种影响生殖器官发育的罕见疾病，并表现为多种表型表现。由于其非典型性，这种情况的临床诊断具有挑战性，并且 46,XX OT-DSD 病例中表现的可变性使其成为医疗实践中的复杂问题。我们报告了一名 13 岁男孩的病例，该男孩出现左侧阴囊疼痛。进一步探查发现，左侧睾丸有睾丸破裂且无睾丸扭转，而右侧睾丸切除的结节的组织病理学分析表明存在卵睾组织。第二次非紧急手术保留了睾丸组织，同时切除了两个性腺中的卵巢组织。经过 22 个月的随访，患者的睾丸产生的睾酮水平随着时间的推移一直维持在正常水平，无需任何外源性补充。该病例表明，对于青春期患有急性阴囊疾病的男孩，应保留性腺直至病因明确，并应考虑 OT-DSD 的可能性。