[青春期前女孩泌尿生殖系统出血揭示尿道脱垂]
[Urogenital bleeding revealing urethral prolapse in a prepubertal girl].
作者信息
Ballouhey Q, Abbo O, Sanson S, Cochet T, Galinier P, Pienkowski C
机构信息
Service de chirurgie pédiatrique, hôpital des Enfants, 330 avenue de Grande-Bretagne, Toulouse cedex 9, France.
出版信息
Gynecol Obstet Fertil. 2013 Jun;41(6):404-6. doi: 10.1016/j.gyobfe.2013.04.006. Epub 2013 May 31.
Urethral prolapse is a complete eversion of the distal urethral mucosa through the external meatus. It occurs primarily in prepubertal, primarly Black girls. Its pathophysiology has not been clearly identified. We report a case of a 5-year-old girl who came to the Emergency Department with a 1-day history of genital pain and "vaginal bleeding". Early recognition makes differential diagnosis with sexual abuse and staging allows prompt management under general anesthesic like prolapse reduction or surgical excision.
尿道脱垂是尿道远端黏膜经尿道口完全外翻。它主要发生在青春期前的黑人女孩。其病理生理学尚未明确。我们报告一例5岁女孩，因生殖器疼痛和“阴道出血”1天前来急诊科就诊。早期识别有助于与性虐待进行鉴别诊断，而分期则允许在全身麻醉下进行及时处理，如脱垂复位或手术切除。
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