Delayed presentation of a giant clitoridal cyst following female genital mutilation: A case report (original) (raw)
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Epidermal clitoral inclusion cyst after type I female genital mutilation
American Journal of Obstetrics and Gynecology, 2001
To document the occurrence of long-term sequelae after type I female genital mutilation (FGM) and describe the surgical treatment of epidermal clitoral inclusion cyst. STUDY DESIGN: Twenty-one women presented with epidermal clitoral inclusion cyst after type I FGM at the Department of Obstetrics and Gynecology at King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia. The duration (mean ± SD, range) of symptoms was 10.3 ± 5.4, 2 to 20 years. They were treated by excision of the cyst with particular attention to preserve the remaining part of the clitoris. The technique involves making a vertical incision in the skin, dissecting and excising the cyst, removing the excessive skin, and reapproximating the skin edges.
Epidermal inclusion cyst of the clitoris 30 years after female genital mutilation
Fertility and Sterility, 2010
Objective: To present a case report of a patient with epidermal inclusion cyst as a late complication of female circumcision, the management of the patient, and a review of the literature. Design: Case report and literature review. Setting: University hospital. Patient(s): A 37-year-old female from Guinea with a large clitoral mass of 6 months' duration. Intervention(s): Complete history and physical exam of the patient and subsequent surgical resection of the cyst. Main Outcome Measure(s): Diagnosis, surgical management, and postoperative sexual function and emotional well-being. Result(s): Resolution of swelling and discomfort, satisfactory postoperative sexual function and emotional wellbeing. Conclusion(s): There should be awareness of one of the relatively common delayed complications of female genital circumcision and familiarity with its surgical management. Overall, surgical management appears to be effective, and there is no documented risk of recurrence. (Fertil Steril Ò 2010;94:1097.e1-e3.
Magna Scientia Advanced Research and Reviews, 2024
Clitoridal inclusion cyst is a common complication of childhood female genital mutilation (FGM) wrong referred to as female circumcision which is still a predominant practice in Sub-Saharan Africa and Asia. Inclusion cyst of the clitoris can present as infants; during childhood or later in life as a complication of FGM. We present a case of a 7-year-old girl with Clitoridal inclusion cyst. She had FGM during infancy in a nursing home in Nigeria. She had enucleation of the cyst with re-fashioning of the external genitalia.
Clitoridal Inclusion Cyst Following Female Genital Mutilation/Cutting - A Case Report
Gynecology & Obstetrics Case report, 2020
Introduction: Epithelial inclusion cyst is a common type of cutaneous cyst that results from implantation of epidermal elements in the dermis and can occur throughout the body. It is often seen in the perineum and posterior vaginal wall, and lined by stratified squamous epithelium. This desquamates and produces secretions to form a cystic mass. This is called clitoridal inclusion cyst when it involves the clitoris. It is usually a complication of female genital mutilation/ cutting. Case presentation: She was a 27-year-old young woman, who presented to the gynaecological clinic with a 15-year history of progressive swelling in her perineum. She was circumcised at the age of 10 years. She had surgical excision under anaesthesia, and was discharged home in good health condition. Conclusion: Evaluation of clitoridal inclusion cyst requires careful assessment by a good history, detailed physical examination and necessary imaging modality, as this will help to rule out differential diagnosis and manage the patient better.
Acquired clitoromegaly cyst consequence of persistent unorthodox practice in the 21st century
Objective: To present case report a patient with clitoral cyst, following type II female genital cutting performed in childhood, management and literature review. Design: Report of cases managed and review of available current literatures. Setting: University College Hospital Ibadan. Patients: The case was a 30 year old Para 2+0 , 2 alive, known hypertensive, with perineal swelling since childhood. She presented 30 years later with increasing size of the clitoral swelling associated with pain. Management: Surgical excision of the cyst following thorough evaluation of the patients. Results: Better cosmetic outcome, vulvar discomfort subsided and improved sexual satisfaction post-operatively. Conclusion: While a good cosmetic and stoppage of vulvar discomfort can be managed with acceptable outcomes, these case, again, brings to attention of persistence of unacceptable female genital cutting with attendant effects even in the 21st century. Also, to let us know that there is need for more and continuous awareness creation of the need to stop this dehumanizing practice, of female genital cutting, which is of no health importance, rather numerous adverse sequelae.
Post-Genital Mutilation Clitoral Cyst Complicated by Lower Urinary Tract Symptoms
International Journal of Advanced Research, 2020
Objective: to describe the epidemiological, clinical and therapeutic aspect of the clitoral cysts complicated by lower urinary tract symptoms managed in a urological setting. Patients and Method: This is a retrospective, descriptive, and singlecenter study of patient records received for low urinary tract symptoms due to a post excisional clitoral cyst over a two-year period. The studied parameters were: incidence, age, circumstances of discovery, physical examination and treatment. Results: Twelve patients were included with an annual incidence of 4. The mean age was 20.5± 11.3 years. The examination revealed lower urinary tract symptoms, a clitoral cyst at the level of the clitoridectomy area. Cyst excision associated with clitoridoplasty was performed in all patients with a simple operative follow-up. Conclusion: The management consisted of a surgical resection associated or not with a clitoridoplasty.
A large clitoral epidermal dermoid cyst: A rare long term complication after female circumcision
Female genital mutilation (FGM) is prevalent in the African countries such as Nigeria, Ethiopia, Sudan, Egypt, and some areas of the Middle East. Many reasons for perpetuation of this practice are mentioned, most commonly are cultural and religious beliefs. The aim of this case study is to describe a clitoral epidermal inclusion dermoid cyst in a 40-year-old female where excision of the mass was done. Histology showed epidermoid inclusion dermoid cyst probably related to circumcision. There is an important need for public health campaigns to educate people about female circumcision with the goal of eradicating this practice.
Clitorolabial Reconstruction in Circumcised Females with Clitoral Inclusion Cyst
Journal of King Abdulaziz University-Medical Sciences, 2009
The current practice of female circumcision in some communities, including some Islamic communities, is a form of genital mutilation. This results in structural distortion of the female external genitalia and defective sexuality, in addition to the associated immediate and late complication. Such practice should be condemned and the mutilated genitalia should be restored whenever feasible. 32 female patients who had Type I or II circumcision, complicated with clitoral inclusion cysts, were seen in the outpatient clinic over 12 years (January 1997-December 2008) and were included in this study. All patients had excision of the clitoral cysts followed by clitorolabioplasty to restore their external genitalia. This report describes the detailed steps of our clitorolabial reconstruction, including the reconstruction of the clitoral hood, pointing out the importance of some steps on the cosmetic outcome. Patients with total clitoral shaft and hood excision were not candidate for such genital reconstruction and were not included in this study. This study presents an experience in female genital reconstruction of the mutilated circumcised female with reference to patients who developed clitoral inclusion cyst which act as tissue expander providing extra skin for better reconstruction.
Vulvar Epidermoid Cyst and Type 2 Radical Genital Mutilation
Case Reports in Obstetrics and Gynecology, 2015
About 100 million women are estimated to be circumcised globally. Various rates of complications have been encountered, especially after circumcision, such as bleeding, infection, shock, menstrual irregularity, difficulty in urination or common urinary tract infections, inguinal pain, difficulty in sexual intercourse, and genital circumcision scar especially at the vulvar region, and cystic or solid character mass in short and long term. Furthermore, the maternal-fetal morbidity and mortality increase due to bleeding and fistula, which develop after prolonged labor, travail, and difficult labors. Our aim in this paper was to discuss a 42-year-old multiparous female case who had undergone type 2 radical genital mutilation (circumcision) when she was 7 years of age, along with the literature, which has been evaluated for the gradually growing mass at the left inguinal canal region in the last 10 years and diagnosed as epidermoid inclusion cyst developing secondary to postcircumcision ...
Epidermoid vulvar cystic lesions are proliferations of epidermal cells that can occur as a complication of female genital mutilation (FGM), which is still a common practice in many cultures, especially in Africa. A 36-year-old Sudanese woman presented with an enlarged clitoral mass that had first appeared 2 years earlier. Her medical history showed that she had undergone FGM when she was 3 years old. A perineal examination revealed a mobile, nontender, rounded cystic swelling with vitiligo lesions. After the cyst was excised, it revealed a 13 ×11 × 11 cm unilocular round mass. An epidermoid cyst was reported following microscopy. Follow-up 6 months later revealed a good result with no recurrence. To date, this is the largest epidermoid cyst following FGM and the first one with vitiligo lesions reported in the literature.