[Vulval bilharziasis].
Vulvar localisation of schistosomiasis is a rare presentation. We report a case of a woman of 20 years old hospitalised for a vulvar mass of six months. That mass progressively increased in volume and was tender. It was accompanied by frequency and dysuria. The patient had a history of swimming in fresh water and hematuria when she was eight years old. Initial clinical examination found a good general state, there was a mass involving the clitoris and the small lips. This painless mass had a cauliflower appearance and was soft with a large implantation. Pathology exam of the mass revealed a vulvar schistosomiasis with an important amount of living eggs. A tumour removal with a plasty of small lips was performed. Additionally, praziquantel was administered orally. Vulvar localisation of schistosomiasis might suggest a malignant tumour. Only pathological examination can assess the diagnosis.
Service d'urologie-andrologie, hôpital Aristide-Le-Dantec, B.P. 3001, Dakar, Sénégal. papaahmed@yahoo.fr
P A
PA
Fall
H
H
Berthe
B
B
Diao
A-K
AK
Ndoye
A-S
AS
Odzebe
J-M
JM
Dangou
B A
BA
Diagne
D000328:Adult; D000818:Animals; D005260:Female; D005618:Fresh Water; D006801:Humans; D012552:Schistosomiasis / Q000175:diagnosis*; D013550:Swimming; D014845:Vulvar Diseases / Q000469:parasitology*