Tubo-Ovarian Abscess in a Virginal Adolescent with Labial Agglutination Due to Lichen Sclerosus

Journal of Pediatric and Adolescent Gynecology
Bianca StortiniNathalie Fleming

Abstract

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.

References

Jun 23, 2009·Journal of Pediatric and Adolescent Gynecology·K A HartmannM S Jay
Aug 14, 2012·Journal of Lower Genital Tract Disease·Jennifer Bradford, Gayle Fischer
Apr 10, 2013·Journal of Pediatric and Adolescent Gynecology·K GoodwinT Dumont
Jun 4, 2013·Journal of Pediatric and Adolescent Gynecology·Naama Marcus-BraunInbar Ben Shachar
Mar 8, 2014·Journal of Pediatric and Adolescent Gynecology·Jennifer L Bercaw-PrattJudith S Simms-Cendan
Jul 15, 2015·Journal of Pediatric and Adolescent Gynecology·Janice L BaconElisabeth H Quint
Nov 12, 2015·International Journal of Adolescent Medicine and Health·Jawaher A AlsahabiAbdulaziz S Alobaid

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