Journal of Ultrasound in Medicine, Vol 5, Issue 3 125-129, Copyright © 1986 by American Institute of Ultrasound in Medicine
Ultrasonography of Turner's syndrome
T. H. Shawker, B. S. Garra, D. L. Loriaux, G. B. Cutler Jr and J. L. Ross
Pelvic sonographic studies were performed on 15 phenotypic females with
Turner's syndrome and varying X chromosome abnormalities. In those
individuals with the 45XO karyotype, the ovaries were not visible,
consistent with the classic description of absent or fibrous streak
ovaries. The patients who were chromosomal mosaics showed a range of
findings from absent to infantile to normal adult-size ovaries. Turner's
syndrome should be suggested in individuals with delayed onset of puberty,
primary amenorrhea, and short stature in whom pelvic ultrasonography fails
to reveal ovaries. On the other hand, the detection of ovarian tissue by
pelvic ultrasonography does not exclude the diagnosis of Turner's syndrome
but does suggest that an X chromosomal abnormality other than 45XO is
probably present.