2Professor of Pediatrics, Kerman University of Medical Sciences and Health Services, Kerman , Iran.
A neonate was admitted on the second day of birth in the pediatric ward of Kerman medical sciences university No.
1 Hospital, because of abdominal distention and the absence of penis. Physical findings were lethargia, infancy
hyporeflexia, abdominal distention without any organomegally, absence of penis, two touchable masses in the scrotum
and a hole on scrotum for urine discharge. CBC and electrolytes were normal. Urea and creatinin were higher than
normal rate but decreased to normal rate on the 4th day of birth. Urine analysis showed a lot of white and red cells and
bacteria, but urine culture and blood culture were negative. Abdominal radiography revealed intestinal lobes full of
gas, but there was no gas in the rectum. Barium enema was normal. Vertebral radiograph and echocardiograph were
normal. Abdominal sonography showed pyelocalisil distention in both kidneys, but more in the left kidney, right
scrotum and a hypoplastic penis in scrotum. In CT-Scan, perfusion and function of right kidney were normal while no
perfusion and function were observed in the left kidney. The karyotype was 46XY. Abdominal distention was relieved
after the washing of rectum with normal salin and discharge of gas and meconium. Urea and creatinin levels decreased
to normal rate and oral feeding was started. The neonate was discharged because of parents’ discontent for genital
repair, but readmitted on the 41st day of birth due to urinary retention and visiculotomy was performed. Genital repair
was not done due to parents’ discontent.