Abate Enyew
Department of Obstetrics and Gynecology, College of Medicine and Health Sciences, Bahir dar University, Ethiopia.
Case Rep Obstet Gynecol. 2022 Oct 27;2022:8797205. doi: 10.1155/2022/8797205. eCollection 2022.
Perineal groove is a rare congenital anomaly characterized by nonepithelialized mucous membrane that appears as an erythematous sulcus in the perineal midline, extending from the posterior vaginal fourchette to the anterior anal orifice. It is one of the uncommon anomalies of anogenital region that is unknown to many clinicians, and it is usually misdiagnosed as an anal fissure, perineal trauma, diaper dermatitis, infection, or sexual abuse. . Seven-day-old female neonate was brought by her parents after they observe reddish discoloration of her genitalia. Upon examination, there was a vertical perineal wet groove-like unkeratinized erythematous lesion with no bleeding, sign of infection, or inflammation that extends from the posterior vaginal fourchette to the anal rim. The newborn was sent home after counseling with a reassessment plan in case of complications.
Recognition of the congenital perineal groove at birth is important for the health care providers to deliver an appropriate parental counseling and appropriate follow-up.
会阴沟是一种罕见的先天性异常，其特征为无上皮化的黏膜，表现为会阴中线处的一条红斑性沟，从阴道后穹延伸至肛门开口前部。它是许多临床医生不了解的肛门生殖器区域不常见的异常之一，通常被误诊为肛裂、会阴创伤、尿布皮炎、感染或性虐待。一名7日龄女新生儿在其父母观察到其生殖器发红后被带来就诊。检查时，发现有一条垂直的会阴湿沟样未角化的红斑性病变，无出血、感染迹象或炎症，从阴道后穹延伸至肛门边缘。在给予咨询并制定并发症再评估计划后，该新生儿被送回家。
出生时识别先天性会阴沟对于医护人员进行适当的家长咨询和适当的随访很重要。
