Open AccessMagnetic resonance neurographic confirmation of extensive Plexiform neurofibroma in neurofibromatosis-1 presenting as ambiguous genitalia
Author(s) -
Ishan Kumar,
Ashish Verma,
Ritu Ojha,
Priyanka Aggarwal,
Ram Chandra Shukla,
Arvind Srivastava
Publication year - 2016
Publication title -
indian journal of radiology and imaging - new series/indian journal of radiology and imaging/indian journal of radiology and imaging
Language(s) - English
Resource type - Journals
eISSN - 0971-3026
pISSN - 0970-2016
DOI - 10.4103/0971-3026.190423
Subject(s) - neurofibromatosis , clitoris , plexiform neurofibroma , neurofibroma , medicine , ambiguous genitalia , magnetic resonance imaging , penis , glans , anatomy , external genitalia , sex organ , radiology , biology , genetics
Genitourinary involvement of neurofibromatosis is uncommon and genital neurofibromatosis is even rarer. Involvement of clitoris by neurofibroma can lead to clitoromegaly masquerading as a male penis. We report such a case of ambiguous genitalia in a 7-year-old female child presenting with clitoromegaly since birth, in which magnetic resonance imaging (MRI) revealed the presence of extensive neurofibromatosis in the clitoris and lumbosacral regions. We emphasize the central role of MRI in evaluation of hormonal and non-hormonal causes of ambiguous genitalia. We further discuss the merits of including MR neurography in the imaging protocol for comprehensive delineation of neurofibromatosis.