Schistosomal vulval granuloma in a 12 years old Sudanese girl

Mawad, N.M.; Hassanein, O.M.; Mahmoud, O. M.; Taylor, M. G.

doi:10.1016/0035-9203(92)90171-8

Cited by 13 publications

(3 citation statements)

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“…Genital schistosomiasis has not been systematically inspected in girls; however, some papers suggest that the infection may cause manifestations already at an early stage in life [22] , [23] . Gynaecological examinations are seldom performed in young girls prior to the first sexual intercourse, and hence case reports from girls are mostly reports of the vulvar schistosomal lesions [24] – [33] . A few cases of vaginal and cervical schistosomiasis have been reported in young women [34] .…”

Section: Introductionmentioning

confidence: 99%

The Colposcopic Atlas of Schistosomiasis in the Lower Female Genital Tract Based on Studies in Malawi, Zimbabwe, Madagascar and South Africa

et al. 2014

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Background Schistosoma (S.) haematobium is a neglected tropical disease which may affect any part of the genital tract in women. Female genital schistosomiasis (FGS) may cause abnormal vaginal discharge, contact bleeding, genital tumours, ectopic pregnancies and increased susceptibility to HIV. Symptoms may mimic those typical of sexually transmitted infections (STIs) and women with genital schistosomiasis may be incorrectly diagnosed. An expert consensus meeting suggested that the following findings by visual inspection should serve as proxy indicators for the diagnosis of schistosomiasis of the lower genital tract in women from S. haematobium endemic areas: sandy patches appearing as (1) single or clustered grains or (2) sandy patches appearing as homogenous, yellow areas, or (3) rubbery papules. In this atlas we aim to provide an overview of the genital mucosal manifestations of schistosomiasis in women.Methodology/Principal findingsPhotocolposcopic images were captured from women, between 1994 and 2012 in four different study sites endemic for S. haematobium in Malawi, Zimbabwe, South Africa and Madagascar. Images and specimens were sampled from sexually active women between 15 and 49 years of age. Colposcopic images of other diseases are included for differential diagnostic purposes.SignificanceThis is the first atlas to present the clinical manifestations of schistosomiasis in the lower female genital tract. It will be freely available for online use, downloadable as a presentation and for print. It could be used for training purposes, further research, and in clinical practice.

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Section: Introductionmentioning

confidence: 99%

The Colposcopic Atlas of Schistosomiasis in the Lower Female Genital Tract Based on Studies in Malawi, Zimbabwe, Madagascar and South Africa

et al. 2014

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“…Also, Numanoglu et al [9] concluded in their work that there are no markers that can give precise diagnosis of ovarian fibroma/thecoma-fibroma prior to surgery. The treatment is usually individualized but surgical removal of ovarian mass, histopathology and follow up have been commonly reported [2] [3] [6] [7] [10]. Clinical recovery usually follows this line of management for the symptomatic patients [1] [2] [3] [6] [7].…”

Section: Discussionmentioning

confidence: 99%

Ovarian Thecoma Fibroma Causing Menstrual Disorder & Infertility: Dramatic Resolution with Surgery

Emegoakor¹,

Udealor²,

Ezenkwele³

et al. 2020

OJOG

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Purpose: To report the case of successfully managed oligo-amenorrhoea with infertility as a result of thecoma fibroma in a young Nigerian Igbo woman. Case Presentation: She was a 24-year-old, married, nulliparous woman who presented with 5 years history of oligomenorrhoea and 18 months history of infertility. Following her menarche at 14 years of age, she had a regular 30-day menstrual cycle with 4 -6 days moderate flow. Symptoms of oligomenorrhoea worsened to amenorrhoea over time with menstrual flow occurring only when a progesterone agent was used. Clinical evaluation revealed no abnormalities in the systems apart from the presence of left adnexal mass on pelvic examination. Radiological test suggested benign left adnexal mass. Results: She had surgical removal of the mass after work up. Her normal menstrual flow resumed 48 hours following surgery and became regular thereafter. The histopathology report confirmed thecoma-fibroma. She commenced sexual intercourse 12 weeks after surgery. At 18 weeks post operative period, she presented with amenorrhoea and pregnancy symptoms. Intra-uterine pregnancy was confirmed with a pelvic ultrasound scan. She was managed in antenatal clinic till 38 weeks gestational age when she had spontaneous vaginal delivery of a live female neonate that weighed 3 kg with good APGAR scores. She is currently being followed up. Conclusion: Ovarian thecoma-fibroma is a rare cause of menstrual irregularities and infertility in young women. Surgical removal could result in a dramatic and favourable clinical response, as in the case presented.

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“…Vulval lesions occur mainly before puberty (Boulle & Notelovitz 1964, McKee et al 1983) and present as chronic granulomatous infiltrative nodules which may ulcerate (Mawad et al 1992). The labia majora are initially involved, but infection then spreads to the labia minora.…”

Section: Schistosomiasis (Bilharzia)mentioning

confidence: 99%

Non‐Sexually Transmitted Infections of the Vulva

Lewis

Neill

2009

Ridley's the Vulva

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Schistosomal vulval granuloma in a 12 years old Sudanese girl

Cited by 13 publications

References 2 publications

The Colposcopic Atlas of Schistosomiasis in the Lower Female Genital Tract Based on Studies in Malawi, Zimbabwe, Madagascar and South Africa

The Colposcopic Atlas of Schistosomiasis in the Lower Female Genital Tract Based on Studies in Malawi, Zimbabwe, Madagascar and South Africa

Ovarian Thecoma Fibroma Causing Menstrual Disorder & Infertility: Dramatic Resolution with Surgery

Non‐Sexually Transmitted Infections of the Vulva

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Schistosomal vulval granuloma in a 12 years old Sudanese girl

Cited by 13 publications

References 2 publications

The Colposcopic Atlas of Schistosomiasis in the Lower Female Genital Tract Based on Studies in Malawi, Zimbabwe, Madagascar and South Africa

The Colposcopic Atlas of Schistosomiasis in the Lower Female Genital Tract Based on Studies in Malawi, Zimbabwe, Madagascar and South Africa

Ovarian Thecoma Fibroma Causing Menstrual Disorder &amp; Infertility: Dramatic Resolution with Surgery

Non‐Sexually Transmitted Infections of the Vulva

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Ovarian Thecoma Fibroma Causing Menstrual Disorder & Infertility: Dramatic Resolution with Surgery