Clitoral Abscess: A rare case report of an Unusual Gynecological Emergency

Clitoral abscesses are a rare and underreported condition in medical literature, characterized by the accumulation of purulent material in the clitoral region. Typically caused by bacterial infections, other contributing factors such as microtrauma, local interventions, or immunosuppression may also play a role. Due to the anatomical location and social stigma surrounding female genital disorders, these abscesses are often underdiagnosed and poorly documented. This case report describes a healthy 29-year-old woman who presented with a four-day history of vulvar swelling and pulsatile pain, ultimately diagnosed with a clitoral abscess. Despite initial treatment with sitz baths and oral antibiotics, the condition worsened, leading to surgical intervention, including incision, drainage, and intravenous antibiotics. Culture results identified pan-sensitive Streptococcus anginosus and Staphylococcus species. After one week of treatment, the patient showed significant improvement with near-complete resolution of her symptoms. This case highlights the importance of early recognition and appropriate management of clitoral abscesses, which may require both medical and surgical approaches. The literature review also discusses various etiologies, complications, and treatment strategies, emphasizing the rarity of this condition and the need for further research to optimize care for affected individuals.