An ovotestis is the commonest gonad in the small number of patients wh
o are true hermaphrodites. In the majority of ovotestes, testicular an
d ovarian tissue is arranged end-to-end. There has been only one previ
ous report of the sonographic appearances of an ovotestis. We present
the sonographic findings in a patient who developed a rapidly enlargin
g upper pole testicular mass, which was found on histology to be a rup
tured ovarian follicle with spermatogenesis occurring within the adjac
ent testicular tissue.