Literature Review of Periclitoral Cysts in the Prepubertal Population

Imaging of diseases of the vagina and external genitalia in children

A wide range of congenital or acquired conditions, some pretty rare, may affect the vulva and vagina in children. Swelling, visible or palpable masses and abnormal discharges are common symptoms of conditions affecting the vulva and/or the lower genital tract. The majority of these diseases are benign. Ultrasonography is pivotal to elucidate the anatomical origin of these conditions and make the diagnosis. Magnetic resonance imaging can be relevant to improve diagnostic confidence and, if needed, to plan more accurate surgical treatment. The aim of this pictorial essay is to review the related imaging findings to help make radiologists familiar with these conditions.

Symptomatic Clitoromegaly: Case Report of a Clitoral Hemangioma

BACKGROUND

Clitoromegaly is often a sign of an underlying disorder of sexual development. Isolated clitoromegaly might occur as a result of benign or malignant neoplasm.

CASE

A 10-year-old girl presented with clitoral swelling and discomfort and was noted to have a 5 × 2 × 2 cm, tender, cystic mass in the left periclitoral area. Ultrasound confirmed the primarily cystic nature of the lesion. At surgery the mass was carefully excised not damaging the clitoral neurovascular bundle. Pathology showed a hemangioma.

SUMMARY AND CONCLUSION

Differentiating between potential etiologies of clitoromegaly requires a careful history, physical examination, select hormone levels determination, imaging, and pathology, which allows for appropriate management. In this case the pain, tenderness, disfigurement, and imaging showing a cystic mass resulted in surgical removal of the mass.