钝性车辆创伤导致的阴道撕裂伤。
Vaginal laceration as a result of blunt vehicular trauma.
作者信息
Gabriel Noëlle M, Clayton Michelle, Starling Suzanne P
机构信息
Eastern Virginia Medical School, Norfolk, VA, USA.
出版信息
J Pediatr Adolesc Gynecol. 2009 Oct;22(5):e166-8. doi: 10.1016/j.jpag.2009.03.008. Epub 2009 Jul 2.
BACKGROUND
Sexual abuse often is the primary diagnosis considered when prepubertal girls present with vaginal trauma. Although sexual abuse is very concerning and should remain high in the differential diagnosis, a variety of accidental injuries also can cause genital injury.
CASE
A 5-year-old girl presented to the emergency department with genital bleeding after a vehicle rolled over her pelvis. She had isolated vaginal lacerations on exam.
SUMMARY AND CONCLUSION
Extreme pelvic compression is an adequate mechanism of injury in a child presenting with vaginal laceration.
背景
青春期前女孩出现阴道创伤时，性虐待往往是首要考虑的诊断。虽然性虐待非常令人担忧，在鉴别诊断中应高度怀疑，但各种意外伤害也可导致生殖器损伤。
病例
一名5岁女孩骨盆被车辆碾压后出现生殖器出血，被送往急诊科。检查发现她仅有阴道撕裂伤。
总结与结论
对于出现阴道撕裂伤的儿童，极度骨盆挤压是一种合理的损伤机制。
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