No abstract

Case reportA previously healthy, 12 year old girl presented with abdominal pain, exertional dyspnoea and heavy menstrual bleeding with clots for fifteen days. There were no other bleeding manifestations. She was the third child of healthy nonconsanguineous parents with two healthy siblings. Since she attained menarche two months prior to admission, she had monthly periods which lasted two weeks. Her development was age appropriate with average school performance. Her height was 134 cm (0.4 th -2 nd centile), weight 38 kg and body mass index (BMI) 21.2 kg/m 2 (85 th -95 th centile). Her height was within mid-parental height range. She had a nonverbal IQ of 121. She was pale without any features of heart failure.