A case of vulval swelling secondary to female circumcision posing a diagnostic dilemma

Amu, Okwudili C.; Udeh, Emeka I.; Ugochukwu, A. I.; Madu, Chukwudi; Nzegwu, M.A.

doi:10.1016/j.ijscr.2012.03.038

Cited by 9 publications

(6 citation statements)

References 11 publications

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“…Studies regarding adult women who were diagnosed with Nuck hydrocele were considered eligible for inclusion. A total of five studies were excluded from the present review (11)(12)(13)(14)(15). Pandey et al (11) and Safak et al (12) presented radiological outcomes of a case with Nuck hydrocele and thus excluded due to insufficient data.…”

Section: Review Of the Literaturementioning

confidence: 99%

“…Pandey et al (11) and Safak et al (12) presented radiological outcomes of a case with Nuck hydrocele and thus excluded due to insufficient data. Noguchi et al (13) and Amu et al (14) were not considered eligible due the fact that the cystic structure in the Nuck canal was histologically confirmed as ectopic pregnancy and dermoid cyst, respectively, and not as hydrocele. Finally, Sala et al (15) included a 17-year old patient with Nuck cyst and was excluded due to age restrictions of the present study.…”

Section: Review Of the Literaturementioning

confidence: 99%

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Cyst of the Canal of Nuck in adult females: A case report and systematic review

et al. 2020

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Defects in the Canal of Nuck are rare abnormalities of the female genitalia, which are typically detected and repaired in young age. In the present report, a case of a Nuck cyst in a 40-year old female patient is described. Additionally, the current literature concerning cases of women with hydrocele of Nuck canal was systematically reviewed. A total of 16 case reports of 16 patients with Nuck hydrocele (mean age of 35.18 years), have been reported to date. A right inguinal mass was noted in 13 patients (81.3%) whereas in 3 patients a left-sided mass was noted. The surgical approach was open in 13 cases and laparoscopic in 3 cases. Two cases underwent hydrocelectomy and inguinal ring ligation, whereas in 7 cases a simple cystectomy was performed. In 2 cases the round ligament was excised along with the hydrocele. In one of these 2, ligamentum rotundum necrosis and presence of a haemorrhagic cyst of the canal of Nuck were identified. Hernia repair and hydrocelectomy was performed in 5 cases. A cyst of the Canal of Nuck is relatively rare, but should be considered during the diagnosis of inguinal masses in female patients.

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Section: Review Of the Literaturementioning

confidence: 99%

Section: Review Of the Literaturementioning

confidence: 99%

Cyst of the Canal of Nuck in adult females: A case report and systematic review

et al. 2020

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“…Reconstructive surgery after FGM/C, besides clitoral reconstruction, includes defibulation [ 26 , 27 ], reconstruction of the labia and removal of cysts [ 28 – 31 ], and excision of neuromas [ 32 , 33 ]. These are performed separately or in conjunction with each other to tackle a spectrum of different problems caused by FGM/C.…”

Section: Clitoral Reconstructionmentioning

confidence: 99%

Addressing Female Genital Mutilation/Cutting (FGM/C) in the Era of Clitoral Reconstruction: Plastic Surgery

Sigurjónsson

Jordal

2018

Curr Sex Health Rep

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Purpose of the ReviewThe aim of this review is to give an overview of the recent evidence on clitoral reconstruction and other relevant reconstructive plastic surgery measures after female genital mutilation/cutting (FGM/C).Recent FindingsRecent publications present refinements and modifications of the surgical technique of clitoral reconstruction along with reconstruction of the labia majora and clitoral hood. Novel approaches with reposition of the clitoral nerve, anchoring of the labia majora, fat grafting, and full thickness mucosa grafts have been introduced. The current evidence on outcomes of clitoral reconstruction shows potential benefits. However, there is a risk of postoperative complications and a negative outcome. Experts in the field advocate for a multidisciplinary approach including psychosexual counseling and health education with or without subsequent clitoral reconstructive surgery.SummaryThe evolution of reconstructive treatment for women with FGM/C is expanding, however at a slow rate. The scarcity of evidence on clitoral reconstruction halters availability of clinical guidelines and consensus regarding best practice. Clitoral reconstruction should be provided by multidisciplinary referral centers in a research setting with long-term follow-up on outcomes of postoperative morbidity and possible benefits.

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“…Keloid scars, which are particularly common in people of African descent, result from progressive overgrowth of dense fibrous tissue (collagen) after wound healing [24]. Numerous cases of clitoral or vulvar epidermal inclusion cysts have been reported [40][41][42][43]57,58]. Inclusion cysts arise from invagination of the keratinizing epidermis into the dermis, and the cyst is lined with a wall of true epidermis.…”

Section: Long-term Complications Dermatological Changesmentioning

confidence: 99%

Female Genital Cutting: Confronting Cultural Challenges and Health Complications Across the Lifespan

Farage

Miller

Tzeghai

et al. 2015

Womens Health (Lond Engl)

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Female genital cutting affects over 140 million women worldwide. Prevalent in certain countries of Africa and the Middle East, the practice continues among immigrants to industrialized countries. Female genital cutting is a deeply rooted tradition that confers honor on a woman and her family, yet also a traumatic experience that creates significant dermatological, gynecological, obstetric and infectious disease complications. Little is known about postmenopausal health in cut women. The international community views this practice as a human rights violation. In addition to genital health complications, the medical community must confront an understudied concern of what happens as this population ages. These challenges must be addressed to provide optimal care to women affected by female genital cutting.

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A case of vulval swelling secondary to female circumcision posing a diagnostic dilemma

Abstract: There is need for more public health campaigns to educate communities about the harms of circumcision with the goal of eradicating the practice.

Cited by 9 publications

References 11 publications

Cyst of the Canal of Nuck in adult females: A case report and systematic review

Cyst of the Canal of Nuck in adult females: A case report and systematic review

Addressing Female Genital Mutilation/Cutting (FGM/C) in the Era of Clitoral Reconstruction: Plastic Surgery

Female Genital Cutting: Confronting Cultural Challenges and Health Complications Across the Lifespan

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