Vascular hamartoma: an unusual cause of clitoromegaly in an 18-year-old patient

Acquired Clitoromegaly: A Gynaecological Problem or an Obstetric Complication?

Acquired non-hormonal clitoromegaly is a rare condition and is due to benign or malignant tumours and sometimes idiopathic. Few cases of clitoral abscesses have been reported after female circumcision. We hereby report a case of clitoral abscess causing acquired clitoromegaly following an obstetrical surgery.

Clitoral Abnormalities in the Absence of Virilization: Etiology and Treatment Strategies

OBJECTIVE

To report 3 cases of pseudoclitoromegaly and to describe the strategies used for differential diagnosis and treatment.

METHODS

Three cases and a literature review were described in this study.

RESULTS

Three cases referred for treatment of clitoromegaly were in fact cases of pseudoclitoromegaly caused by a hamartoma, a neurofibroma, and a hemangioma of the clitoral prepuce. Abnormal virilization was excluded and the tumors were successfully treated by surgical resection and genital esthetic reconstruction.

CONCLUSION

Clitoral abnormalities not associated with virilization syndromes are rare. Isolated abnormalities may affect the clitoris and the clitoral prepuce (pseudoclitoromegaly) and have multiple causes. The most frequent are inclusion cysts secondary to female circumcision, but a multiplicity of tumors, usually benign, may be found. Treatment is surgical, except for most infantile hemangiomas. Before deciding to offer surgical treatment, one should consider the degree of genital deformity and the risks of sensitivity loss and/or clitoral ischemia.

Lesions of the clitoris: a review

The clitoris may become involved by vulvar lesions. There are also lesions arising from the clitoris. A familiarity with these lesions is necessary for the high index of suspicion needed for their diagnosis.