# Adolescents With Labial Enlargement Misdiagnosed as Labial Masses on Imaging

## TL;DR

Adolescent labial enlargement can be misdiagnosed as a mass on imaging, leading to unnecessary treatments and procedures.

## Contribution

Highlights the risk of misdiagnosis in adolescents with labial enlargement due to limited radiologic literature.

## Key findings

- Two adolescents with labial enlargement were misdiagnosed as having labial masses on imaging.
- One patient had aphthous ulcers, while the other had a rolled elongated labia minora.
- Clinical correlation is essential to avoid unnecessary interventions in such cases.

## Abstract

Background: Literature describing radiologic imaging of the adolescent labia is lacking and may lead to misdiagnoses and unnecessary medical care.

Cases: Two adolescent patients presented with sudden-onset unilateral labia minora enlargement and underwent multiple imaging modalities which identified a discrete mass. One patient was diagnosed with aphthous ulcers after a prolonged emergency department stay, and the other underwent an exam under anesthesia for mass removal and was found to have an elongated labia minora rolled into itself.

Conclusion: Labia minora enlargement in adolescents can be significant and may be mistaken for a discrete mass on radiologic imaging given a lack of literature on expected findings. Clinical correlation and understanding of age-appropriate etiologies of noninfectious labial swelling is crucial to avoid unnecessary medical therapies and procedures.