Kyrgios Ioannis, Emmanouilidou Eleftheria, Theodoridis Theodoros, Galli-Tsinopoulou Assimina
4th Department of Pediatrics, Faculty of Medicine, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece.
BMJ Case Rep. 2014 Feb 14;2014:bcr2013202958. doi: 10.1136/bcr-2013-202958.
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.
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。