Gobbur Vijayalakshmi R, Gobbur Raghavendra H, Patil Ashwini G, Endigeri Preetish
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 .
J Clin Diagn Res. 2015 Jan;9(1):QD03-4. doi: 10.7860/JCDR/2015/10227.5364. Epub 2015 Jan 1.
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.
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。