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阴道出血的一个意外原因:盆腔X线摄影的作用

An unexpected cause of vaginal bleeding: the role of pelvic radiography.

作者信息

Kyrgios Ioannis, Emmanouilidou Eleftheria, Theodoridis Theodoros, Galli-Tsinopoulou Assimina

机构信息

4th Department of Pediatrics, Faculty of Medicine, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece.

出版信息

BMJ Case Rep. 2014 Feb 14;2014:bcr2013202958. doi: 10.1136/bcr-2013-202958.

DOI:10.1136/bcr-2013-202958
PMID:24532235
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3926347/
Abstract

Vaginal bleeding and/or discharge in young girls may result from infection, urological problems, endocrine causes, bleeding disorders, dermatological conditions, trauma, sexual abuse, masses or foreign bodies. We report a case of excessive vaginal bleeding caused by a foreign body in a prepubertal girl with emphasis on the diagnostic challenges and pitfalls regarding imaging techniques. In our patient, although invasive and expensive investigations had been initially made, the foreign body was last detected only when a plain pelvic radiography was performed.

摘要

年轻女孩的阴道出血和/或分泌物可能由感染、泌尿系统问题、内分泌原因、出血性疾病、皮肤病、创伤、性虐待、肿物或异物引起。我们报告一例青春期前女孩因异物导致阴道大量出血的病例,重点关注影像技术在诊断方面的挑战和陷阱。在我们的患者中,尽管最初进行了侵入性且昂贵的检查,但直到进行盆腔平片检查时才最终发现异物。

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1
An unexpected cause of vaginal bleeding: the role of pelvic radiography.阴道出血的一个意外原因:盆腔X线摄影的作用
BMJ Case Rep. 2014 Feb 14;2014:bcr2013202958. doi: 10.1136/bcr-2013-202958.
2
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Clinical Features and Management of Urethral Foreign Bodies in Children: A 10-Year Retrospective Study.儿童尿道异物的临床特征与处理:一项10年回顾性研究
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2
Small spherical foreign bodies in the genitourinary tract and their management.泌尿系统内的小球形异物及其处理。
BMC Pediatr. 2022 Jan 15;22(1):42. doi: 10.1186/s12887-022-03114-7.

本文引用的文献

1
The missing "Bratz" doll: a case of vaginal foreign body.失踪的“布拉茨”娃娃:一例阴道异物病例。
Pediatr Emerg Care. 2007 Dec;23(12):897-8. doi: 10.1097/pec.0b013e31815c9dd2.
2
Vaginal foreign bodies.阴道异物
J Paediatr Child Health. 2004 Apr;40(4):205-7. doi: 10.1111/j.1440-1754.2004.00338.x.
3
Recurrent, purulent vaginal discharge associated with longstanding presence of a foreign body and vaginal stenosis.反复出现的脓性阴道分泌物,与异物长期存在及阴道狭窄有关。
J Pediatr Adolesc Gynecol. 2003 Dec;16(6):361-3. doi: 10.1016/j.jpag.2003.09.006.
4
Long retained intravaginal foreign body: a case report.长期留存的阴道内异物:一例报告
Arch Gynecol Obstet. 2003 Oct;268(4):323-4. doi: 10.1007/s00404-002-0321-8. Epub 2002 Oct 29.
5
Premenarchal vaginal discharge: findings of procedures to rule out foreign bodies.青春期前阴道分泌物:排除异物的检查结果
J Pediatr Adolesc Gynecol. 2002 Aug;15(4):227-30. doi: 10.1016/s1083-3188(02)00160-2.
6
Magnetic resonance imaging in the evaluation of vaginal foreign bodies in a young girl.磁共振成像在评估一名年轻女孩阴道异物中的应用
Arch Gynecol Obstet. 2001 Nov;265(4):221-2. doi: 10.1007/s004040000163.
7
The role of sonography in the detection of vaginal foreign bodies in young girls: the bladder indentation sign.超声检查在幼女阴道异物检测中的作用:膀胱压迹征
Pediatr Radiol. 1995 Nov;25 Suppl 1:S60-1.
8
Probability of vaginal foreign body in girls with genital complaints.有生殖器不适症状的女童阴道内存在异物的概率。
Am J Dis Child. 1985 May;139(5):472-6. doi: 10.1001/archpedi.1985.02140070046031.