Stortini Bianca, Dural Ozlem, Kielly Maria, Fleming Nathalie
Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada; University of Ottawa, Faculty of Medicine, Ottawa, Ontario, Canada; Department of Obstetrics, Gynecology and Newborn Care, The Ottawa Hospital, Ottawa, Ontario, Canada.
Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada; University of Ottawa, Faculty of Medicine, Ottawa, Ontario, Canada.
J Pediatr Adolesc Gynecol. 2017 Dec;30(6):646-648. doi: 10.1016/j.jpag.2017.05.004. Epub 2017 May 15.
We describe an unusual presentation of lichen sclerosus in a postmenarchal, virginal girl.
A 14-year-old girl first presented with acute urinary retention due to labial agglutination and developed bilateral tubo-ovarian abscesses in 10 days of the conservative management period. Abscesses were treated with antibiotherapy and percutaneous drainage; simple division of the labial agglutination and vulvar biopsies were performed with a preliminary diagnosis of lichen sclerosus. Postoperative follow-up with antibiotherapy and clobetasol propionate 0.05% ointment was uneventful.
Lichen sclerosus should be considered in cases of labial agglutination with atypical presentations. Finally, this case reminds us that pelvic inflammatory disease and tubo-ovarian abscess must be kept in mind even in virginal adolescents, especially in the presence of obstructive lesions of the genital tract.
我们描述了一名初潮后处女女孩的硬化性苔藓的不寻常表现。
一名14岁女孩首次因阴唇粘连出现急性尿潴留，并在保守治疗期的10天内发展为双侧输卵管卵巢脓肿。脓肿采用抗生素治疗和经皮引流；对阴唇粘连进行简单分离并进行外阴活检，初步诊断为硬化性苔藓。术后采用抗生素治疗和0.05%丙酸氯倍他索软膏进行随访，过程顺利。
对于伴有非典型表现的阴唇粘连病例，应考虑硬化性苔藓。最后，该病例提醒我们，即使是处女青少年，尤其是存在生殖道梗阻性病变时，也必须牢记盆腔炎和输卵管卵巢脓肿。
