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外阴表皮样囊肿与2型根治性女性生殖器切割

Vulvar Epidermoid Cyst and Type 2 Radical Genital Mutilation.

作者信息

Birge Ozer, Ozbey Ertugrul Gazi, Arslan Deniz, Erkan Mustafa Melih, Demir Feyza, Akgor Utku

机构信息

Nyala Sudan Turkey Training and Research Hospital, Department of Gynecology and Obstetrics, Nyala, 7100 Darfur, Sudan.

Nyala Sudan Turkey Training and Research Hospital, Department of Urology, Nyala, Darfur, Sudan.

出版信息

Case Rep Obstet Gynecol. 2015;2015:520190. doi: 10.1155/2015/520190. Epub 2015 Nov 22.

Abstract

About 100 million women are estimated to be circumcised globally. Various rates of complications have been encountered, especially after circumcision, such as bleeding, infection, shock, menstrual irregularity, difficulty in urination or common urinary tract infections, inguinal pain, difficulty in sexual intercourse, and genital circumcision scar especially at the vulvar region, and cystic or solid character mass in short and long term. Furthermore, the maternal-fetal morbidity and mortality increase due to bleeding and fistula, which develop after prolonged labor, travail, and difficult labors. Our aim in this paper was to discuss a 42-year-old multiparous female case who had undergone type 2 radical genital mutilation (circumcision) when she was 7 years of age, along with the literature, which has been evaluated for the gradually growing mass at the left inguinal canal region in the last 10 years and diagnosed as epidermoid inclusion cyst developing secondary to postcircumcision surgical ground trauma, since there was no other case found in the literature search that had been circumcised at such an early age and developing after circumcision at such advanced age, and, therefore, this is suggested to be the first case on this subject.

摘要

据估计,全球约有1亿女性接受过环切手术。术后出现了各种并发症,尤其是环切术后,如出血、感染、休克、月经不调、排尿困难或常见的尿路感染、腹股沟疼痛、性交困难,以及外阴区域尤其是生殖器环切疤痕,还有短期和长期的囊性或实性肿物。此外,长时间分娩、难产导致出血和瘘管,进而增加了母婴发病率和死亡率。本文的目的是讨论一名42岁经产妇的病例,她7岁时接受了2型根治性生殖器切割(环切)手术,结合文献,该患者在过去10年中左腹股沟管区域肿物逐渐增大,经诊断为环切术后手术创面创伤继发的表皮样包涵囊肿,因为在文献检索中未发现其他在如此幼年时接受环切手术且在如此高龄时术后发病的病例,因此,该病例被认为是这一主题的首例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/385f/4670626/aaeea22a1139/CRIOG2015-520190.001.jpg

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