case_images: PMC11006455_01
case_images: Urethral caruncle in (a) gangrenous foul-smelling mass at (b) 2nd post admission day with polyploidy mass surrounding the urethral meatus which is open anteriorly and (c) 3 months postop at follow-up clinic. (d) Histology.
case_images: CRIU2024-6104687.001.jpg
case_images: PMC11006455_01_CRIU2024-6104687.001.jpg
case_images: fig1
case_images: An antibiotic (ceftriaxone and metronidazole) was started, and the patient was stabilized; after 48 hours, the necrotic tissue sloughed off (Figure 1(a)). Upon EUA circumferential, a reddish mass was seen at the external meatus, easily bleeding with a mild foul smell but no discharge (Figure 1(b)). There was no recurrence up to 6 months postoperatively (Figure 1(c)).
case_images: PMC11006455_02
case_images: (a) Urethral caruncle, (b) postop with the catheter in situ, and (c) histology revealed.
case_images: CRIU2024-6104687.002.jpg
case_images: PMC11006455_02_CRIU2024-6104687.002.jpg
case_images: fig2
case_images: The EUA finding was fleshy, an outgrowth of the posterior urethral meatus was seen (Figure 2(a)), and the vagina was appreciated; catheter 8Fr passed through the assumed urethral orifice and confirmed. A catheter was inserted for three days (Figure 2(b)). The biopsy result revealed papillomata's lesion with vascular and fibroblastic connective tissue with chronic inflammation; the epithelium is hyperplastic (Figure 2(c)).
case_images: PMC11006455_03
case_images: (a) Urethral caruncle in a five-year-old female. (b) Mass protruding per vagina. (c) Circumferential mass except anteriorly. Three-month follow-up with no recurrence.
case_images: CRIU2024-6104687.003.jpg
case_images: PMC11006455_03_CRIU2024-6104687.003.jpg
case_images: fig3
case_images: It has involved the circumference of the urethra except the anterior part (Figures 3(a) and 3(b)). There was no recurrence for three months on follow-up (Figure 3(c)).