Hong Kong man, 66, finds he's a woman after all

[Flan]

http://www.news.com.au/world-news/hong-kong-man-finds-hes-a-woman-after-all/story-fndir2ev-1226657374990
http://www.hkmj.org/article_pdfs/hkm1306p268.pdf

A 66-YEAR-OLD who lived his whole life as a man was given a surprising diagnosis after visiting the doctor in Hong Kong with a swollen abdomen - he was a woman.

Doctors realised the patient was female after they found the swelling came from a large cyst on an ovary, the Hong Kong Medical Journal reported.

A 66-year-old Vietnam-born Chinese man was admitted to our department because
of progressive abdominal swelling and bilateral ankle oedema for 1 year. On physical
examination, he was noted to have a short stature with body height of 1.37 m. He had a
normal complexion and no other dysmorphic features. His blood pressure was 99/55 mm
Hg but with no postural drop. Abdominal examination revealed a distended abdomen
without organomegaly or shifting dullness. Examination of his external genitalia revealed
a micropenis with perineoscrotal hypospadias (Prader stage IV); no testes could be
detected in/along both the scrotum and inguinal canals. However, he had male pattern
of escutcheon, a beard, and no gynaecomastia. On further questioning, he reluctantly
disclosed a history of urinary leakage since childhood and arrest of growth after puberty
at the age of 10 years. Computed tomography of the abdomen revealed a 13.6 x 26.5 x 23.7
cm non-enhancing septated cystic mass arising from the retrovesical region.