Hair Tourniquet Syndrome of Labia Minora

We present two uncommon cases of adolescent girls with hair-thread strangulation of the labia minora. The first 14-year-old girl presented with a painful pedunculated labial lump (Fig. 1). The lesion was covered with exudate. She was examined under sedation and found a coil of long hair forming a tourniquet around a labial segment. Thread removal resulted to immediate relief from pain, and gradual return to normal appearance. Another 10-year-old girl presented with a similar labial swelling. The recent experience of the first case led us straight to the problem. A long hair-thread was found at the neck of the lesion. Hair removal resulted in settling of the pain. The labial swelling subsided in few days.