“Vaginal” bleeding in prepubertal age: A rare scaring riddle, a case of the urethral prolapse and review of the literature

Aprile, Anna; Ranzato, C.; Rizzotto, Melissa Rosa; Arseni, Alessia; Dalt, Liviana Da; Facchin, Paola

doi:10.1016/j.forsciint.2011.04.017

Cited by 12 publications

(15 citation statements)

References 33 publications

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“…Ancak prepubertal kız çocukları arasında görülme sıklığı hakkında kesin bilgi bulunmamaktadır. 2011 yılındaki bir çalışmada, 2008 yı-lına kadar dünyada 696 çocuk olgunın raporlandığı belirtilmiştir (1) . Araştırmamıza göre ise bugüne kadar Türkiye'de yayınlanmış çocuk olgu bulunmamaktadır.…”

Section: Discussionunclassified

“…Ancak olgumuz Türkiye'ye göç ile Suriye'den gelen bir ailenin çocuğuydu. UP daha sıklıkla Afrika kökenli zenci kız çocukları arasında görülmekle birlikte, beyaz çocuklarda da görülmektedir (1,3) . En sık görüldüğü yaş aralığı prepubertal yaş olan 5-9 yaş aralığı olmakla birlikte, 3-5 yaş aralığında da görül-düğü raporlanmıştır (1) .…”

Section: Discussionunclassified

“…Prolabe olan üretra; hemorajik, kolay kanayan, vajenden ayrı vulvar kitlelerdir (1) . Prepubertal zenci kız çocukla-rında ve postmenopozal beyaz kadınlarda sıklıkla gö-rülür.…”

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“…Prepubertal zenci kız çocukla-rında ve postmenopozal beyaz kadınlarda sıklıkla gö-rülür. Hastalar primer olarak lekelenme tarzında vajinal kanama yakınması ile getirilmekte olup, ayrıca dizüri ve üretral meatusun morumsu renkte prolabe olması sonucu vajinal bölgede kitle yakınması de mevcuttur (1)(2)(3) . Raporlanan olgularda öncelikle genital patolojiler düşünülmüş ve aile bu şekilde yönlendirilmiştir.…”

unclassified

“…Raporlanan olgularda öncelikle genital patolojiler düşünülmüş ve aile bu şekilde yönlendirilmiştir. Bu yanlış tanının UP patolojisinin ender görülmesinden kaynaklı olduğu düşünülmektedir (1,4) . Biz bu makale ile Türkiye'de daha önceden hiç sunulmamış üretral prolapsuslu çocuk hastamızı sunarak vajinal kanama yakınması ile getirilen kız çocukla-rında farkındalık oluşturmak istedik.…”

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First child case of the prepubertal urethral prolapse in Turkey

Yıldız¹,

Yucak²,

Aydın³

et al. 2017

Tcdd

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Section: Discussionunclassified

“…Prolabe olan üretra; hemorajik, kolay kanayan, vajenden ayrı vulvar kitlelerdir (1) . Prepubertal zenci kız çocukla-rında ve postmenopozal beyaz kadınlarda sıklıkla gö-rülür.…”

unclassified

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First child case of the prepubertal urethral prolapse in Turkey

Yıldız¹,

Yucak²,

Aydın³

et al. 2017

Tcdd

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Genital trauma and vaginal bleeding: is it a lapse of time issue? A case report of a prepubertal girl and review of the literature

Russo

Rosa-Rizzotto

Giolito³

et al. 2016

Int J Legal Med

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Child victims of sexual abuse may present with physical findings whose interpretation requires the most exhaustive evaluation and an accurate collection of a detailed history. Genital bleeding is usually considered as an acute sign, related to a trauma that occurred shortly before its appearance. We report a case of a 34-month-old child who was referred to the emergency room with a significant vaginal hemorrhage, originating from a wide laceration of the posterior fourchette, and a negative history for accidental trauma. The characteristics of the lesion, compared to the temporal evolution of the healing process, and the witnesses' depositions led us to assume that the time elapsed between the abusive event and the physical examination was longer in respect to what had appeared at the first sight. The judicial reconstruction of the events confirmed our assumption, allowing the charge of the right abuse perpetrator. As the literature regarding this eventuality is very poor, we report this case to stress the importance for physicians to consider that an active bleeding may be the manifestation of a trauma that occurred very long before.

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Rare (uro-)genital pathologies in young girls mimicking sexual abuse

Schaul

Schwark

2021

Int J Legal Med

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Examinations of young children for suspicions of sexual abuse are challenging for the involved medical specialists because the consequences of the interpretation of the findings can be severe and dramatic. A broad knowledge of differential diagnoses including rare pathologies like urethral prolapse and failure of the midline fusion of the perineum, known as perineal groove, is essential in order to avoid unnecessary diagnostics and treatment, prejudgment, and to reduce patient family’s anxiety. We report two independent cases of girls aged 7 months and 5 years suffering from these rare pathologies, one presenting with painless lower genital tract bleeding, the other showing a lesion of the perineum as random finding during a neuropediatrician’s consultation. In both cases, the pathologies were initially misdiagnosed as injuries due to sexual assault, and judicial investigation procedures were initiated. In this paper, the characteristic symptoms and morphology of urethral prolapse and perineal groove are presented to enhance the awareness of these pathologies among forensic experts and help to establish the correct diagnosis.

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“Vaginal” bleeding in prepubertal age: A rare scaring riddle, a case of the urethral prolapse and review of the literature

Cited by 12 publications

References 33 publications

First child case of the prepubertal urethral prolapse in Turkey

First child case of the prepubertal urethral prolapse in Turkey

Genital trauma and vaginal bleeding: is it a lapse of time issue? A case report of a prepubertal girl and review of the literature

Rare (uro-)genital pathologies in young girls mimicking sexual abuse

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