title: A Vulvovaginal Mass in a 16-Year-Old Adolescent: A Case Report.
abstract: BACKGROUND
  Vulvar varicosities might be misdiagnosed as vulvar venous malformations in the prepubertal or pubertal age. If seen isolated, they can mimic other masses that are usually seen in this anatomic area like a hernia or a cyst. Depending on the associated symptoms and clinical findings, imaging modalities investigate the nature of such a mass and might provide a therapeutic alternative besides surgery.
  
  
  METHODS
  We report a case of an isolated asymptomatic vulvar varicosity in a 16-year-old adolescent. A pelvic ultrasound followed by a Doppler and a magnetic resonance imaging scan confirmed the diagnosis. We used guided direct sclerotherapy for successful treatment.
  
  
  CONCLUSIONS
  Optimal management and outcome are assured using a multidisciplinary approach. Guided sclerotherapy provides a safe, effective, and minimally invasive procedure to treat vulvar varicosities.
authors.affiliation: Division of Adolescent Medicine, Nicklaus Children's Hospital, Miami, Florida. Electronic address: jihanenaous@gmail.com.
authors.forename: Jihane
authors.initials: J
authors.lastname: Naous
authors.affiliation: Division of Adolescent Medicine, Nicklaus Children's Hospital, Miami, Florida.
authors.forename: Lorena
authors.initials: L
authors.lastname: Siqueira
mesh_terms: D000293:Adolescent; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010388:Pelvis / Q000000981:diagnostic imaging; D015911:Sclerotherapy / Q000379:methods*; D016896:Treatment Outcome; D014463:Ultrasonography; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000628:therapy*; D054079:Vascular Malformations / Q000175:diagnosis*; D014844:Vulva / Q000098:blood supply* / Q000000981:diagnostic imaging
keywords: Adolescent; Mass; Varicosity; Vulvovaginal