Legal Medicine Institute, Environmental & Public Health Department, University of Padua, Via Falloppio 50, 35121 Padua, Italy.
Forensic Sci Int. 2011 Jul 15;210(1-3):e16-20. doi: 10.1016/j.forsciint.2011.04.017. Epub 2011 May 17.
The entities responsible for isolated vaginal bleeding are a broad spectrum of diseases. Vaginal bleeding in a prepubertal child is always treated as an alarming symptom both by parents and professionals. Most often, one of the first hypotheses is that a sexual abuse may be occurred and the clinical work up is oriented to explore it and eventually confirm or substantiante another diagnosis. Among the possible differential diagnosis urethral prolapse has to be considered. We report the case of a 6 years-old Caucasian girl referred to our Service for a mild vaginal bleeding and with the suspicion of sexual abuse, excluded after the confirmation of the presence of urethral prolapse. The clinical picture and workup are described and compared with a review of the international literature on the issue.
负责孤立性阴道出血的实体是广泛的疾病。青春期前儿童的阴道出血无论对父母还是专业人士来说都是一个警示症状。大多数情况下，最初的假设之一是可能发生了性虐待，临床检查旨在探索这一点，并最终确认或证实另一个诊断。在可能的鉴别诊断中，必须考虑尿道脱垂。我们报告了一例 6 岁白人女孩的病例，因轻度阴道出血和疑似性虐待而被转至我们的服务部门，在确认存在尿道脱垂后排除了这种可能性。描述了临床表现和检查，并与国际文献中关于该问题的综述进行了比较。
