Transitional cell carcinoma presenting as clitoral priapism.
BACKGROUND
Clitoral priapism is an uncommon cause of clitoromegaly. It should be suspected in the absence of hirsuitism and the presence of clitoral engorgement, pain, and local irritation.


METHODS
A 48-year-old female had a straight catheterization of her bladder for a history of frequent urinary tract infections. She was noted to have a clitoral size of 5 x 2.5 cm along with the classic findings of priapism. She had an 8 x 10 cm pelvic mass that was biopsied and revealed transitional cell carcinoma with papillary squamous component.


CONCLUSIONS
Clitoral priapism presents with clitoral engorgement in the absence of sexual stimulation. The most common etiologies include medications, pelvic tumors, blood dyscrasias, or retroperitoneal fibrosis. A thorough investigation is warranted to identify potential pelvic venous or lymphatic obstruction.
DiGiorgi
Sarah
S
The University of Connecticut School of Medicine, Farmington, CT 06030, USA.
Schnatz
Peter F
PF
Mandavilli
Srinivas
S
Greene
John F
JF
Curry
Stephen L
SL
D002295:Carcinoma, Transitional Cell / Q000175:diagnosis* / Q000473:pathology; D002987:Clitoris / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis* / Q000473:pathology; D014845:Vulvar Diseases / Q000175:diagnosis* / Q000473:pathology