Labial adhesion in a pubertal girl—a commonly misdiagnosed entity: A case report

B Selvamuthu, K Jayashree, N Fathima - Journal of South Asian …, 2021 - jsafog.com
B Selvamuthu, K Jayashree, N Fathima
Journal of South Asian Federation of Obstetrics and Gynaecology, 2021jsafog.com
Labial adhesion is a gynecological condition where adhesion of labia minora occurs in the
midline. It is commonly seen in the prepubertal age group, causing parental anxiety, rarely
seen in postmenopausal women, and very rarely seen in the reproductive age group.
Hypoestrogenism and inflammation are usually considered as a cause of labial adhesion.
Many cases present with urinary symptoms leading to misdiagnosis unless a clinical
examination is done. Management can be observation, medical, or surgical. Management …
Abstract
Labial adhesion is a gynecological condition where adhesion of labia minora occurs in the midline. It is commonly seen in the prepubertal age group, causing parental anxiety, rarely seen in postmenopausal women, and very rarely seen in the reproductive age group. Hypoestrogenism and inflammation are usually considered as a cause of labial adhesion. Many cases present with urinary symptoms leading to misdiagnosis unless a clinical examination is done. Management can be observation, medical, or surgical. Management becomes difficult in case of recurrences. We present a case of a 12-year-old pubertal girl who came to our hospital. She was misdiagnosed and was treated elsewhere as a urinary tract infection. Here she was diagnosed with labial adhesion and was treated for the same. She had recurrent adhesions which were managed appropriately.
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