Infected epidermal cyst of the clitoris in an infant

• DOI: 10.1016/j.epsc.2021.101819
• Publication Date: 2021-02-21T17:28:03Z
• Authors: M. Doan; A. de Buys Roessingh; E. Tenisch; O. El Ezzi
• Keywords: Epidermal cyst; 03 medical and health sciences; 0302 clinical medicine; Pediatrics, Perinatology, and Child Health; Surgery; RD1-811; Surgery; Intersex disorder; Clitoromegaly; Pediatrics; RJ1-570; 3. Good health

Clitoral enlargement in the pediatric population is a rare condition, usually related to problems of sexual differentiation, but malignant and benign clitoral lesions have also been described. We report the case of a newborn infant, investigated at birth for an intersex disorder because of clitoromegaly. Hormonal screening was normal and ultrasound (US) did not show a pelvic or abdominal mass. Three weeks later, the lesion was larger, tense and erythematous. An abscess was suspected. A drainage was then performed, and the bacteriological culture revealed the presence of Staphylococci aurei. A magnetic resonance imaging (MRI) performed to exclude a tumor of the soft tissue was normal. A diagnosis of infected epidermal cyst was confirmed by the pathology. Two months later, the external genital aspect was normal and the child asymptomatic.