Bleeding and Vulvovaginitis in the Pediatric Age Group

Sanfilippo, Joseph S.; Wakim, Najib G.

doi:10.1097/00003081-198709000-00021

Cited by 12 publications

(9 citation statements)

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“…We identified 3.6% in the series, in contrast to other series that reported 4.8% (Imai et al, 1995), and were not mentioned in other reports (Heller et al, 1978;Hill et al, 1989). The most common foreign body in our cases, and some other previous reports, were rolled pieces of toilet paper (Baldwin and Landa, 1995;Fishman and Paldi, 1991;HermanGiddens, 1994;Muram, 1990;Sanfilippo and Wakim, 1987), which may appear as grayish masses (Baldwin and Landa, 1995). The classical triad of symptoms are vaginal bleeding or spotting, discharge and odor (HermanGiddens, 1994).…”

Section: Discussioncontrasting

confidence: 60%

“…Careful history taking will be helpful for diagnosis. We managed these cases with reassurance of the parents and elimination of the exogenous estrogen source, similar to the previous suggestion by Sanfilippo and Wakim (1987).…”

Section: Discussionmentioning

confidence: 71%

“…We managed the cases of hemangioma of the vulva and functional ovarian cyst conservatively, and they disappeared spontaneously. We managed the case of granulosa tumor of the ovary with conservative surgery similar to that of Sanfilippo and Wakim (1987). In addition, the case of sarcoma botryoides of the vagina underwent radical surgery, followed by combined chemotherapy similar to previous reports (Muram, 1990;Sanfilippo and Wakim, 1987).…”

Section: Discussionmentioning

confidence: 79%

“…This condition can be easily diagnosed when the mass is seen at the urethral orifice (Imai et al, 1995). There were three methods used for therapy: conservative management (consisted of sitz bath, local application of estrogen cream, and oral antibiotics) (Baldwin and Landa, 1995;Fernandes et al, 1993;Fishman and Paldi, 1991;Sanfilippo and Wakim, 1987), ligation over a Foley catheter (Fernandes et al, 1993), and total excision of the prolapse (Fernandes et al, 1993;Sanfilippo and Wakim, 1987). In the series, we found only one (1.8%) with this lesion.…”

Section: Discussionmentioning

confidence: 89%

“…Ninety-nine percent of cases appear before 10 years of age or after 50 years of age (Fishman and Paldi, 1991). Urethral prolapse is a circular eversion of the mucosa of urethra at the meatus (Baldwin and Landa, 1995;Fishman and Paldi, 1991;Hill et al, 1989;Sanfilippo and Wakim, 1987). Predisposing factors were coughing, constipation, trauma, urinary and vaginal infections (Fernandes et al, 1993).…”

Section: Discussionmentioning

confidence: 99%

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Vaginal bleeding in young children

Phupong

2000

Intl J Gynecology & Obste

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Abstract. To evaluate prospectively vaginal bleeding in young children with emphasis on the cause, management and outcome, we analyzed the data of all children aged under 10 years old who presented with vaginal bleeding at the King Chulalongkorn Memorial Hospital between 1981 and 2000. There were 55 girls presenting with vaginal bleeding with variable degrees of severity. In 41 of the 55 girls (74.5%), the bleeding resulted from a local lesion of the genital tract. Genital tumors were seen in four girls, ie hemangioma of the vulva, sarcoma botryoides of the vagina, functional ovarian cyst and granulosa cell tumor of the ovary. In the remaining 14 girls (25.5%), the bleeding originated from systemic hormonal etiology. In one girl with precocious puberty, it was associated with hypothyroidism, whereas in the other six girls it was due to constitutional causes. In addition, the cause of bleeding in 10 girls was the vaginal manifestation of leeches, which is a unique problem for Thailand. Although vaginal bleeding in young children is rare, it can be an alarming clinical presentation, and serious underlying causes should be excluded. Prompt and correct diagnosis will lead to successful management.

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