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Symptomatic Clitoromegaly: Case Report of a Clitoral Hemangioma
Chandler A Kasuske1, Keith A Hansen1
1Department of Obstetrics and Gynecology, Sanford School of Medicine of the University of South Dakota, Sioux Falls, South Dakota.
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.
