Conclusion
This rare case highlights the co-existence of CAH and Jacob syndrome
(47, XYY Syndrome) that leads to ambiguous genitalia and various
urogenital abnormalities and underscores a stepwise diagnostic approach
in patients with atypical presentation. A multidisciplinary approach
including endocrinology, surgery, and genetics is necessary for the
proper management of complexities associated with the condition. Further
research is needed to find the association between CAH and Jacob
syndrome in patients with ambiguous genitalia.