RESUMO
OBJECTIVE: Clitoromegaly encountered in clinical practice is more commonly due to endocrinopathies either congenital or acquired. However, acquired clitoromegaly due to a nonhormonal cause is quite rare. The authors report a case of nonhormonal-acquired clitoromegaly in a woman. MATERIALS AND METHODS: This is a case report of an 18-year-old patient with slowly increasing swelling in the vulval area for the past 6 months. Clinical examination revealed an enlarged, soft, nontender clitoris (4 × 2.5 cm), with a lobulated surface. RESULTS: Frozen section from clitoral mass showed a benign tumor. Surgical excision of the mass was carried out, preserving the glans. Histopathologic examination of the excised mass showed congested blood vessels and fibromuscular tissue with free nerve endings suggestive of vascular hamartoma of clitoris. CONCLUSIONS: The correct diagnosis of clitoromegaly is essential so that suitable therapy is instituted. Thus, management of such cases needs a good clinical judgment and a judicious individualization of management protocols.
Assuntos
Clitóris/patologia , Clitóris/cirurgia , Hamartoma/patologia , Doenças da Vulva/patologia , Adolescente , Clitóris/irrigação sanguínea , Edema/diagnóstico , Edema/etiologia , Feminino , Seguimentos , Hamartoma/cirurgia , Humanos , Hipertrofia/patologia , Hipertrofia/cirurgia , Doenças Raras , Medição de Risco , Resultado do Tratamento , Doenças da Vulva/cirurgiaAssuntos
Transtornos 46, XX do Desenvolvimento Sexual/cirurgia , Anormalidades Múltiplas/cirurgia , Hérnia Inguinal/cirurgia , Transtornos 46, XX do Desenvolvimento Sexual/complicações , Transtornos 46, XX do Desenvolvimento Sexual/patologia , Anormalidades Múltiplas/patologia , Amenorreia/complicações , Anormalidades Congênitas , Feminino , Hérnia Inguinal/complicações , Humanos , Rim/anormalidades , Ductos Paramesonéfricos/anormalidades , Somitos/anormalidades , Coluna Vertebral/anormalidades , Útero/anormalidades , Útero/patologia , Útero/cirurgia , Vagina/anormalidades , Vagina/patologia , Vagina/cirurgia , Adulto JovemRESUMO
Fistulas between the uterus and bowel are rarely reported. We report successful laparoscopic management of a colouterine fistula caused by a foreign body in the uterus. Fistulas between the gastrointestinal tract and the female genital tract are usually found between the vagina and rectum as a result of complications of childbirth or iatrogenic trauma. Communication between the uterus and bowel is rarely reported. We report successful laparoscopic management of an unusual case of colouterine fistula caused by a foreign body in the uterus.