Related Experiment Video
Updated: May 28, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
Published on: September 20, 2018
[Infantile perineal protrusion is a harmless condition with multiple differential diagnoses]
Maija Dalgaard Haastrup1, Anette Bygum
1Dermato-venerologisk Afdeling I, Odense Universitetshospital, 5000 Odense C, Denmark. maija.dalgaard.haastrup@ouh.regionsyddanmark.dk
Insights
Infantile perineal protrusion (IPP) affects 13% of girls and typically resolves on its own. Early recognition of IPP is crucial to avoid unnecessary treatments and potential complications like contact allergy.
Area of Science:
- Pediatric Surgery
- Dermatology
Background:
- Infantile perineal protrusion (IPP) is a common condition in girls, with a reported frequency of 13%.
- It is characterized by a skin-colored protrusion, believed to stem from congenital perineal weakness.
- IPP often resolves spontaneously without intervention.
Observation:
- A 13-year-old girl was misdiagnosed and treated for hemorrhoids for nine years.
- During this period, she developed iatrogenic contact allergy due to frequent topical ointment application.
- The underlying condition was eventually identified as infantile perineal protrusion.
Findings:
- Delayed diagnosis of IPP can lead to prolonged, unnecessary medical interventions.
- Iatrogenic complications, such as contact allergy, can arise from the treatment of misdiagnosed conditions.
- Accurate identification of IPP is essential for appropriate patient management.
Implications:
- Early and accurate diagnosis of IPP in pediatric patients is vital.
- Awareness of IPP can prevent unnecessary investigations and treatments in children.
- Recognizing IPP avoids potential iatrogenic harm and reduces healthcare costs.
Abstract:
Among girls the frequency of infantile perineal protrusion (IPP) is 13%. The skin-coloured protrusion is thought to represent a congenital weakness in the perineum and usually resolves spontaneously. We report a case of a 13 year-old girl who for nine years had been examined and treated for haemorrhoids and other relevant differential diagnoses before being diagnosed with IPP. During this time she developed iatrogenic contact allergy after frequent application of ointment for haemorrhoids. Recognition of this common and harmless condition renders further examination and treatment unnecessary.
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