Sexual ambiguities or anomalies of sexual differentiation or Disorders of sex development sexual (DSD) are defined as congenital conditions in which the development of chromosomal, gonadal or anatomical sex is atypical [1,2].

There are several types of ambiguity, listed in order of frequency: female pseudohermaphroditism, male pseudohermaphroditism, and finally, true pseudohermaphroditism, which is the least frequent of the three, involving the coexistence of ovarian and testicular tissue [4]. Diagnosis is generally made at birth, based on abnormal external genitalia, but can be much later, at puberty. This is where imaging studies become important [4]. Abdominopelvic ultrasound is an essential diagnostic tool.

Hence the interest in reporting this clinical case of sexual ambiguity in the imaging department of the CHU GT.