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Ambiguous external genitalia in a Nigerian neonate seen at a private health facility in South Eastern Nigeria

The birth of a child with ambiguous genitalia poses a huge emotional burden to the parents and erodes the joyful experience of childbirth. Ambiguous genitalia is a disorder of sex development that affects 1 in 4500 live births. The diagnosis of ambiguous genitalia in a newborn infant is a social emergency because of the need to assign gender of rearing to the child early in life. We report a case of ambiguous genitalia in Nigerian neonate seen at a private health facility in Nigeria as well as highlight challenges in the management.