Vaginal Bleeding in Childhood: A Review of 51 Patients

Heller, Marc; Savage, M O; Dewhurst, John

doi:10.1111/j.1471-0528.1978.tb15590.x

Cited by 18 publications

(10 citation statements)

References 12 publications

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“…In our series, vaginal bleeding in children was most frequently associated with trauma, in 22 out of 55 girls (40%), which is contradictory to some other series (Cowan and Morrison, 1991;Fishman and Paldi, 1991;Heller et al, 1978;Hill et al, 1989;Imai et al, 1995;Muram, 1990), which reported only 8-9.7%.…”

Section: Discussioncontrasting

confidence: 99%

“…We found 74.5% of the cases had local causes of bleeding similar to the report by Imai et al (1995); our findings, however, are in contrast with other reports (Heller et al, 1978;Hill et al, 1989), which found 27-54% (Table 2).…”

Section: Discussionsupporting

confidence: 66%

“…The remaining five cases (9.1%) bled from sexual molestation. However, Heller et al (1978) reported 8% of cases were accidental trauma. Most of the cases were caused by falling onto sharp objects (Fishman and Paldi, 1991).…”

Section: Discussionmentioning

confidence: 98%

“…One report showed that malignant genital tumors and precocious puberty were the most common etiology (Hill et al, 1989). Anothers report from Heller et al (1978) found idiopathic precocious puberty the most common cause of vaginal bleeding. The difference may be attributed to differences in race, habits of the people, local conditions and the types of hospital practice, and whether they were general or specialized.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the cases were caused by falling onto sharp objects (Fishman and Paldi, 1991). Examination under general anesthesia is always necessary because of the laceration of the vulva, which might appear relatively insignificant from external inspection, and the external blood loss might seem minute in the presence of significant vaginal hematoma (Heller et al, 1978;Hill et al, 1989) and vaginal rupture.…”

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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Section: Discussioncontrasting

confidence: 99%