Clitoromegaly with Associated Anomalies in the Female of a Fraternal Twin: A Case Report

Authors

  • Faosat Olayiwola Jinadu Radiology Department, Lagos State University Teaching Hospital, 1-5, Oba Akinjobi Street, Ikeja, Lagos, Nigeria wola07@yahoo.com
  • Rachael Adeyanju Akinola Radiology Department Lagos State University College of Medicine / Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria
  • Oredipe Ademola Oluranti Radiology Department, Lagos State University Teaching Hospital, 1-5, Oba Akinjobi Street, Ikeja, Lagos, Nigeria
  • Babajide Olawale Balogun Radiology Department, Lagos State Lagos State University College of Medicine/ Lagos State University Teaching Hospital, 1-5, Oba Akinjobi Street, Ikeja, Lagos, Nigeria
  • MAN Akinkunmi BT Health and Diagnostic Center, Lagos State University Teaching Hospital, 1-5, Oba Akinjobi Street, Ikeja, Lagos, Nigeria
  • Subhash Vijayvargiya BT Health and Diagnostic Center, Lagos State University Teaching Hospital, 1-5, Oba Akinjobi Street, Ikeja, Lagos, Nigeria

Keywords:

Ambiguous genitalia, clitoromegaly, female fraternal twin, karyotyping

Abstract

We report this uncommon case of clitoromegaly with associated anomalies in a 2 months old female, the first of fraternal twins. The initial diagnosis of ambiguous genitalia on karyotyping was changed to clitoromegaly most probably due to congenital adrenal hyperplasia (CAH).

Karyotyping, biochemical analysis, ultrasonography, contrast studies and magnetic resonance imaging were done as the preoperative workup of this patient.

Author Biographies

  • Faosat Olayiwola Jinadu, Radiology Department, Lagos State University Teaching Hospital, 1-5, Oba Akinjobi Street, Ikeja, Lagos, Nigeria wola07@yahoo.com
    Radiology Department, Lagos State UniversityTeaching Hospital,1-5,Oba Akinjobi Street, Ikeja, Lagos, Nigeria.Consultant Radiologist.
  • Rachael Adeyanju Akinola, Radiology Department Lagos State University College of Medicine / Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria
    Radiology Department, Lagos State University Collegeof Medicine/ Lagos State University Teaching HospitalAssociate Professor
  • Oredipe Ademola Oluranti, Radiology Department, Lagos State University Teaching Hospital, 1-5, Oba Akinjobi Street, Ikeja, Lagos, Nigeria
    Radiology Department, Lagos State University Teaching HospitalRegistrar
  • Babajide Olawale Balogun, Radiology Department, Lagos State Lagos State University College of Medicine/ Lagos State University Teaching Hospital, 1-5, Oba Akinjobi Street, Ikeja, Lagos, Nigeria
    Lagos State University College of Medicine/ Lagos State University Teaching Hospital,Senior Lecturer
  • MAN Akinkunmi, BT Health and Diagnostic Center, Lagos State University Teaching Hospital, 1-5, Oba Akinjobi Street, Ikeja, Lagos, Nigeria
    BT Health and Diagnostic Center, Lagos State University Teaching HospitalConsultant
  • Subhash Vijayvargiya, BT Health and Diagnostic Center, Lagos State University Teaching Hospital, 1-5, Oba Akinjobi Street, Ikeja, Lagos, Nigeria
    BT Health and Diagnostic Center, Lagos State University Teaching HospitalConsultant

References

Clitoromegaly.2013. Retrieved from en.wikipedia.org/wiki/ Clitoromegaly

Dumont T, Black AY, Ahmet A, Fleming NA. Isolated transient neonatal clitoromegaly with hyperandrogenism of unknown aetiology. J Pediatr Adolesc Gynecol. 2009; 22(5): e 142-5(ISSN: 1873-4332).

Williams CE, Nakhal RS, Achermann JC, Creighton SM. Persistent unexplained congenital clitoromegaly in females born extremely premature. J Pediatr Urol. 2013; DOI 10.1016/j.jpurol.2013.03.001.

Geramizadeh B, Anbardar MH, Shakeri S. Clitoromegaly caused by cavernous haemangioma: A rare case report and review of literature. Urol Ann. 2012; 4:175-177.

Rink RC, Adams MC, Misseri R. A new classification for genital ambiguity and urogenital sinus anomalies.BJU International. 2005; 95(4)638-642:

Von Prader A. Der genitalbefund beim pseudohermaproditus feminus kongenitalen adrenogenitalen syndromes. Helv.Pediatr Acta 1954; 9:231-48

Gunther DF, Bukowski TP, Ritzen EM, Wedell A,Van Wyk JJ. Prophylactic adrenalectomy of a 3 year old girl with congenital adrenal hyperplasia: Pre-and post operatives studies. J Clin Endocrinol Metab. 1997 .82:3324-3327,.

Gleason PE. Urogenital Sinus and CloacalAnomalies. 2009. Retrieved from www.pediatricurologyinformation.com/uroGenital Sinus/topic.html.

Chowdhury LH, Saha N, Naq UK, Siddique FH, Khan NA. Congenital urogenital sinus anomaly without adrenal hyperplasia.Mymensingh Med J.2012; 21(4):752-724.

Elmore JM, Kirsch AJ, Snyder 111 HM. Congenital Urogynaecologic Anomalies. 2012. Retrieved from emedicine.medscape.com/article/1017296-overview#aw2aab6b3

Downloads

Published

2013-12-13

How to Cite

Clitoromegaly with Associated Anomalies in the Female of a Fraternal Twin: A Case Report. (2013). Asian Journal of Pharmacy, Nursing and Medical Sciences, 1(4). https://ajouronline.com/index.php/AJPNMS/article/view/485