Infected epidermal cyst of the clitoris in an infant

• Main Authors: M. Doan, A. de Buys Roessingh, E. Tenisch, O. El Ezzi
• Format: Article
• Language: English
• Published: Elsevier 2021-04-01
• Series: Journal of Pediatric Surgery Case Reports
• Subjects: Clitoromegaly; Intersex disorder; Epidermal cyst
• Online Access: http://www.sciencedirect.com/science/article/pii/S2213576621000415

Clitoral enlargement in the pediatric population is a rare condition, usually related to problems of sexual differentiation, but malignant and benign clitoral lesions have also been described. We report the case of a newborn infant, investigated at birth for an intersex disorder because of clitoromegaly. Hormonal screening was normal and ultrasound (US) did not show a pelvic or abdominal mass. Three weeks later, the lesion was larger, tense and erythematous. An abscess was suspected. A drainage was then performed, and the bacteriological culture revealed the presence of Staphylococci aurei. A magnetic resonance imaging (MRI) performed to exclude a tumor of the soft tissue was normal. A diagnosis of infected epidermal cyst was confirmed by the pathology. Two months later, the external genital aspect was normal and the child asymptomatic.