Scientific Publications Database

Article Title: Tubo-Ovarian Abscess in a Virginal Adolescent with Labial Agglutination Due to Lichen Sclerosus
Authors: Stortini, Bianca; Dural, Ozlem; Kielly, Maria; Fleming, Nathalie
Journal: JOURNAL OF PEDIATRIC AND ADOLESCENT GYNECOLOGY Volume 30 Issue 6
Date of Publication:2017
Abstract:
Background: We describe an unusual presentation of lichen sclerosus in a postmenarchal, virginal girl.Case: 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.Summary and Conclusion: 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.