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Images in neonatal medicine
Neonatal asymmetrical vulvar hypertrophy: a neonatal manifestation of ’classic' prepubertal vulvar fibroma?
  1. Anna Tessari1,
  2. Luisa Santoro2,
  3. Federica De Corti3,
  4. Enrico Valerio1,
  5. Mario Cutrone4
  1. 1 Department of Woman and Child Health, University of Padova, Medical School, Padova, Italy
  2. 2 Surgical Pathology and Cytopathology Unit, Department of Medicine-DIMED, University of Padova, Padova, Italy
  3. 3 Pediatric Surgery Unit, Department of Woman and Child Health, University of Padova, Medical School, Padova, Italy
  4. 4 Pediatrics Department, Dell’Angelo Hospital, Venice, Italy
  1. Correspondence to Dr Enrico Valerio; enrico.valerio.md{at}gmail.com

https://doi.org/10.1136/archdischild-2019-316869

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    We evaluated an otherwise healthy, full-term female newborn for a soft, non-tender swelling of the left labium majus (figure 1). Ultrasound scan at birth confirmed the absence of indwelling intraperitoneal structures, ruling out the hypothesis of inguinal hernia. A 2-week follow-up ultrasound revealed a hypoechoic/isoechoic tissue with hyperechoic striae in its context. Doppler ultrasound imaging at 6 and 12 months excluded vascular malformations. The baby …

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    Footnotes

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.

    • Patient consent for publication Not required.