Evaluation of genital condyloma accuminata seen during pediatric age as for sexual abuse: Case report

Petekkaya, Semih; Erkol, Zerrin; Hösükler, Erdem; Samurcu, Hakan; Gündoğdu, Veyis; Büken, Bora

doi:10.14534/j-pucr.2018236888

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“…On the contrary, pediatric population is vertically transmitted from infected genital tract or through caretakers with hand warts [1] . However sexual abuse is a rather common cause of anogenital warts in children and should be ruled out with detailed history and physical examination for signs of abuse [1] , [4] . In the index case, the mother denied history of warts during her pregnancy and there was no evidence of sexual abuse on clinical examination.…”

Section: Discussionmentioning

confidence: 99%

An uncommon presentation of a large vulval wart in a child

Lodhia

Mremi

Mbwambo

et al. 2022

International Journal of Surgery Case Reports

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Introduction and importance Ano-genital warts are rare presentation in children. The main route of transmission is by sexual intercourse however horizontal transmission, self-inoculation and vertical transmission are also documented. Establishing the route of transmission when there is no evidence of sexual abuse may be difficult in pediatric and female virgins such as in our case report. Surgical excision remains one of the best options for treatment of large warts in pediatrics. To the best of our knowledge, this is the first report of novel case of large genital warts in pediatrics in Tanzania. Case presentation We present a case of female child of one year and 10 months old with large ano-genital cauli-flower masses admitted at Kilimanjaro Christian Medical Centre. The child's hymen was intact and with no evidence of sexual abuse identified. The masses were excised under general anesthesia and histology confirmed Condyloma acuminata . Clinical discussion Ano-genital warts are rare presentation in pediatrics and female virgins. Sexual abuse should be ruled out in pediatrics patients. Self-inoculation is described as a possible route of transmission in pediatrics and in female virgins. Horizontal and vertical transmissions are also possible route of transmission of HPV. It might be difficult to establish the route of transmission as in our case report. The warts were successful treated by surgical excision and cauterization. Conclusion Condyloma acuminata are rare in pediatrics and establishing the route of transmission may be difficult. Sexual abuse should be ruled out in pediatrics.

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Section: Discussionmentioning

confidence: 99%