{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T19:45:54Z","timestamp":1770061554342,"version":"3.49.0"},"reference-count":26,"publisher":"Walter de Gruyter GmbH","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We report the case of a 46,XX infant referred at 3 months of age for evaluation of ambiguous genitalia with no palpable gonads. The phallus was replaced by a homogeneous peduncular structure covered by skin, and a second peduncular structure covered by mucosa was located between the labia minora above the urethral meatus and the vaginal opening. There were no associated anomalies, and she had normal growth and neuromotor development. During surgery to remove these structures, a bifid clitoris was detected and cystoscopy and vaginoscopy revealed normal female urethra and vagina. The structure located on the phallic region was a superficial lipomatous nevus, and the other mass was a congenital urethral caruncle with ectopic migration\/differentiation of colonic epithelium into ventral and anterior part of the urogenital sinus. Both genital lipomas and congenital caruncles of the female urethra are very rare and their etiology is unknown. There is no previous report of coincidence of these two rare findings in an otherwise healthy girl.<\/jats:p>","DOI":"10.1515\/jpem-2015-0165","type":"journal-article","created":{"date-parts":[[2015,9,3]],"date-time":"2015-09-03T17:03:46Z","timestamp":1441299826000},"source":"Crossref","is-referenced-by-count":2,"title":["Lipomatous nevus and urethral caruncle mistaken for ambiguous genitalia in a female infant"],"prefix":"10.1515","volume":"29","author":[{"given":"Luciana Ferreira","family":"Brasileiro","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Antonio Violin","family":"Dias Pereira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rcio Lopes","family":"Miranda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leandro Luiz Lopes","family":"de Freitas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonia Paula","family":"Marques-de-Faria","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea Trevas","family":"Maciel-Guerra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gil","family":"Guerra-Junior","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","reference":[{"key":"ref11","first-page":"1","article-title":"Congenital perineal lipoma presenting as ambiguous genitalia","volume":"18","author":"Guerra","year":"2008","journal-title":"AM Eur J Pediatr Surg"},{"key":"ref101","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1111\/j.1442-2042.2006.01420.x","article-title":"Urethral polyps in children a review of the literature and report of two cases","volume":"13","author":"Demircan","year":"2006","journal-title":"Int J Urol"},{"key":"ref171","first-page":"1","article-title":"Congenital perineal lipoma presenting as ambiguous genitalia","volume":"18","author":"Guerra","year":"2008","journal-title":"AM Eur J Pediatr Surg"},{"key":"ref261","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1111\/j.1442-2042.2006.01420.x","article-title":"Urethral polyps in children a review of the literature and report of two cases","volume":"13","author":"Demircan","year":"2006","journal-title":"Int J Urol"},{"key":"ref131","first-page":"835","article-title":"bladder ureter renal pelvis In SS editor Histology for pathologists Philadelphia PA Publishers","author":"Reuter","year":"1997"},{"key":"ref61","first-page":"39","article-title":"Rare association in a female DSD case of phallus accessory phallic urethra perineal lipoma and anterior ectopic anus Pediatric","author":"Mahalik","year":"2013"},{"key":"ref141","first-page":"341","article-title":"caruncle with coexistence of intestinal heterotopia case report","volume":"29","author":"Urakami","year":"1997","journal-title":"Int"},{"key":"ref301","first-page":"341","article-title":"caruncle with coexistence of intestinal heterotopia case report","volume":"29","author":"Urakami","year":"1997","journal-title":"Int"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1111\/j.1346-8138.2001.tb00113.x","article-title":"lipoma in a neonate","volume":"28","author":"Ogasawara","year":"2001","journal-title":"J Dermatol"},{"key":"ref211","article-title":"Perineal accessory scrotum with congenital lipoma : a rare case report Case Report","author":"Chatterjee","year":"2012"},{"key":"ref281","first-page":"389","article-title":"Benign masses of the female periurethral tissues and anterior vaginal wall","author":"Fletcher","year":"2008","journal-title":"Curr Rep"},{"key":"ref191","article-title":"Prenatal sonographic diagnosis of a perineal lipoma Ultrasound","volume":"29","author":"Wax","year":"2010","journal-title":"Med"},{"key":"ref71","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.urology.2014.03.033","article-title":"Perineal lipoma with accessory labioscrotal fold and penis - 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