ro13-9904 and Vulvar-Diseases

A complicated case of female genital mutilation (FGM) type 2b done in late-pregnancy is presented and the interplay of Yoruba and Kwale culture, in this case, is discussed. A Yoruba who grew up among Kwales/Urhobos had FGM at 38 weeks and 4 days gestation (to assure vaginal delivery) and presented with vulvar hematoma, septicemia, obstructed labor, and a distressed fetus. 5 days after FGM procedure, she had an emergency cesarean section (EmCS), repair of FGM site and baby was admitted in special care. There was the obvious synergy of the Yoruba culture of FGM in infancy and Kwale/Urhobo culture of FGM in pregnancy. The patient and her fetus/baby almost became mortalities but for prompt intervention. The role of sociocultural factors in the practice of FGM is recommended to be further investigated as FGM even in educated women and at the dangerous stage of term pregnancy is still prevalent.

Topics: Anti-Bacterial Agents; Ceftriaxone; Cesarean Section; Circumcision, Female; Drainage; Emergency Treatment; Female; Gentamicins; Hematoma; Humans; Metronidazole; Obstetric Labor Complications; Pregnancy; Pregnancy Outcome; Sepsis; Tetanus Toxoid; Treatment Outcome; Vulvar Diseases; Young Adult

We present a case of pyogenic pubic symphysitis presenting in the third trimester with progressive suprapubic pain, fever and massive vulvar oedema. This case demonstrates a rare, but important cause of sepsis in pregnancy, which, if not recognised and treated promptly, may result in significant morbidity.

Topics: Adult; Anti-Bacterial Agents; C-Reactive Protein; Ceftriaxone; Edema; Female; Fever; Gentamicins; Humans; Infant, Newborn; Metronidazole; Pain; Pregnancy; Pregnancy Complications, Infectious; Pregnancy Trimester, Third; Pubic Symphysis; Sepsis; Staphylococcal Infections; Staphylococcus aureus; Treatment Outcome; Vulvar Diseases

A 40-year-old female presented with a non-itchy ulcerative nodular lesion at left labium majus since last 1 1/2 years. The lesion progressed to increase in size from 0.5 cm to 1.5 cm in diameter. It was incised and drained. After that a non-healing ulcerative nodule formed. The nodule was firm in consistency and movable on all sides. The ulcer healed with a 5 days course of ceftriaxone. If was excised and biopsy of the lesion showed fibrocystic changes of accessory breast tissue. It is a rare disease entity for which the case report is presented.

Topics: Adult; Ceftriaxone; Female; Fibrocystic Breast Disease; Humans; Vulva; Vulvar Diseases; Vulvar Neoplasms