Dua Anahita, Jamshidi Ramin, Lal Dave R
Division of Pediatric Surgery, Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee, WI, USA.
Pediatr Emerg Care. 2013 Jul;29(7):829-30. doi: 10.1097/PEC.0b013e3182986184.
Hair tourniquet syndrome has been recognized as a medical entity since the 1600 s. Appendages develop acute ischemia from tightening of hair strands circumferentially wrapped around them. Most commonly affected sites are fingers, toes, and penis, but limited reports have described involvement of the female genitalia. Although hair strangulation involving the labia minora or clitoris has been described, it typically occurs in young children. We present a case of an adolescent girl with a labial appendage hair tourniquet resulting from a previous unrepaired genital laceration. This is one of the oldest patients in whom a genital hair tourniquet has been reported, as well as description of a posttraumatic genital appendage. Genital hair tourniquets are medical emergencies that require prompt diagnosis and treatment to avoid tissue necrosis and possible amputation. Genital trauma in general requires surgical evaluation.
自17世纪以来，毛发束带综合征就已被确认为一种医学病症。附属肢体因被发丝环绕收紧而出现急性缺血。最常受累的部位是手指、脚趾和阴茎，但关于女性生殖器受累的报道有限。虽然已有阴唇系带或阴蒂被毛发勒绞的描述，但通常发生在幼儿身上。我们报告一例青春期女孩，因既往未修复的生殖器撕裂伤导致阴唇附属肢体毛发束带。这是报道有生殖器毛发束带的年龄最大的患者之一，同时也是对创伤后生殖器附属肢体的描述。生殖器毛发束带是需要迅速诊断和治疗以避免组织坏死和可能截肢的医疗急症。一般来说，生殖器创伤需要进行手术评估。
