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一例罕见的异物导致青春期前儿童反复阴道分泌物增多的病例。

A rare case of foreign body causing recurrent vaginal discharge in prepubertal child.

作者信息

Gobbur Vijayalakshmi R, Gobbur Raghavendra H, Patil Ashwini G, Endigeri Preetish

机构信息

Professor, Department of Obstetrics and Gynaecology, Shri B.M.Patil Medical College Hospital & Research Centre , Bijapur, Karnataka, India .

Professor, Department of Paediatrics, Shri B.M.Patil Medical College Hospital & Research Centre , Bijapur, Karnataka, India .

出版信息

J Clin Diagn Res. 2015 Jan;9(1):QD03-4. doi: 10.7860/JCDR/2015/10227.5364. Epub 2015 Jan 1.

Abstract

Vaginal discharge in prepubertal children is mainly due to hypoestrogenic state of vaginal mucosa making it thin and alkaline leading to mucosal invasion by pathogen. In a paediatric case with persistent foul smelling , blood stained vaginal discharge not responding to medical therapy, vaginal foreign body should always be ruled out. Here, we report a 3 -year -old girl with complaint of recurrent vaginal discharge occasionally blood stained not relieved despite few antibiotics courses. On X -ray pelvis, a radioopaque foreign body hair clip was seen. Under sedation foreign body was removed by forceps following which child became asymptomatic.

摘要

青春期前儿童的阴道分泌物主要是由于阴道黏膜雌激素水平低,使其变薄且呈碱性,导致病原体侵入黏膜。在一名儿科病例中,若出现持续有恶臭、血性阴道分泌物且药物治疗无效的情况,应始终排除阴道异物。在此,我们报告一名3岁女孩,主诉反复出现阴道分泌物,偶尔带血,尽管接受了几个疗程的抗生素治疗仍未缓解。骨盆X线检查发现一个不透X线的异物发夹。在镇静状态下,用镊子取出异物,此后患儿症状消失。

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本文引用的文献

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Vulvovaginitis in prepubertal girls.青春期前女孩的外阴阴道炎
Arch Dis Child. 2003 Apr;88(4):324-6. doi: 10.1136/adc.88.4.324.
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