 Corresponding author: Awopola Ibiebelem Jumbo Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.. Copyright © 2022 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0. Delayed presentation of a giant clitoridal cyst following female genital mutilation: A case report Awopola Ibiebelem Jumbo * and Rose Sitonma Iwo-Amah Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria. World Journal of Advanced Research and Reviews, 2022, 15(01), 075–078 Publication history: Received on 03 May 2022; revised on 01 July 2022; accepted on 03 July 2022 Article DOI: https://doi.org/10.30574/wjarr.2022.15.1.0532 Abstract Background: Clitoridal cyst is an epidermal inclusion cyst occurring in the region of the clitoris. It is a complication of female genital mutilation. It is usually underreported and thus a rare clinical diagnosis. This may be because the cyst is usually asymptomatic and in a concealed location, as well as the proscribed status of female genital mutilation (FGM) in society. This is a case of a 36-year-old multipara with a giant clitoridal cyst following FGM in childhood. Case report: Mrs B.E was a 36-year-old P4+0(all alive) who presented on 18/4/22 with a 10year history of anterior vulval swelling which was progressive and painless. She had female genital mutilation in childhood. Treatment with cyst excision under anaesthesia was done and the postoperative period was satisfactory. Conclusion: The clitoridal cyst is a long term complication of FGM. Women with clitoridal cysts often present late when they can no longer cope with the size of the cyst or when complications have occurred. At this stage treatment may be complicated, hence there is a need to increase public awareness of this condition through reporting, female education and sensitization. Keywords: Clitoridal Cyst; Female Genital Mutilation; Cyst Excision; Inclusion Cyst 1. Introduction The clitoridal cyst is an epidermal inclusion cyst occurring in the region of the clitoris [1]. They usually occur following implantation of the epidermis of the clitoridal skin into the dermis [1, 2]. As the entrapped epidermis proliferates, there is an accumulation of desquamations and secretions that could not find an exit to the exterior forming a cystic mass [2, 3]. The clitoridal cyst is often a complication of female genital mutilation (FGM) [2, 4]. Many women with this condition hardly present to the hospital except when complications develop, as the cyst is often painless and concealed and FGM is a proscribed practice [3, 5]. Therefore, the clitoridal cyst is an uncommon clinical diagnosis [3, 4]. This is a case report of a giant clitoridal cyst occurring in a 36year old multiparous woman following female genital mutilation in childhood. 2. Case report Mrs B.E was a 36year old P4+0(all alive) who presented to the gynaecology clinic of the Rivers State University Teaching Hospital (RSUTH) Port Harcourt on 18/4/22 with a 10year history of swelling in the vulva. The swelling was initially small but has increased over time. It has become a source of worry and caused coital difficulties which warranted her