Giant pubic keloid in a 6-year-old male: a case report

Keloids are benign fibroproliferative scars resulting from abnormal wound healing. While frequently affecting the chest, shoulders, and earlobes, their occurrence in the suprapubic or genital region of children is exceedingly rare. A 6-year-old male who developed a several-cm long and wide keloid extending from the suprapubic region to the base of the penis following a left inguinal hernia repair. The wound of the hernia repair had initially healed well. The keloid was initially noted within 2 months post-surgery and became larger and symptomatic during the following year. There were no signs of infection, ulceration, or urinary difficulty. The patient was taken electively to the operating room. We did a complete surgical excision with a closure in multiple layers. After the operation he underwent cutaneous injections of triamcinolone acetonide (40 mg/mL, 0.5 mL per session) monthly for three months. The postoperative recovery was uneventful, and no recurrence has been observed at 18 months of follow-up. Surgical resection plus cutaneous steroid injection appears to be a safe and effective treatment for giant keloids that may develop after the repair of inguinal hernias.