Premenarchal recurrent periclitoral abscess: a case report
Lara-Torre, E.; Hertweck, S.Paige.; Kives, S.L.; Perlman, S.
Journal of Reproductive Medicine 49(12): 983-985
2004
ISSN/ISBN: 0024-7758 PMID: 15656216 Document Number: 577751
Periclitoral abscesses in premenarchal girls is a serious condition and can have negative implications for future reproductive health. Recurrent periclitoral abscess in premenarchal girls is rare. An 11-year-old, premenarchal girl presented complaining of dysuria, vulvar swelling, pain and erythema of the clitoral hood and a similar episode 12 months previously. Intravenous antibiotics and local measures resulted in spontaneous drainage of the abscess. On day 3 the area was healing, and the patient was discharged on oral antibiotics and sitz baths. At her 6-month follow-up, she had a normal clitoral hood without tenderness or erythema. Broad-spectrum antibiotics and local measures may prevent surgical treatment and potential associated reproductive morbidity.