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[会阴沟:病例报告与文献综述]

[Perineal groove: Case report and review of the literature].

作者信息

de La Monneraye Y, Benoist G, Marchesi L, Crosnier A-S, Guinard-Samuel V

机构信息

Pédiatrie générale et urgences pédiatriques, CHU Ambroise-Paré, AP-HP, 9, avenue Charles-De-Gaulle, 92100 Boulogne-Billancourt, France; UFR des sciences de la santé Simone-Veil, université de Versailles-Saint-Quentin, 78180 Montigny-le-Bretonneux, France.

Pédiatrie générale et urgences pédiatriques, CHU Ambroise-Paré, AP-HP, 9, avenue Charles-De-Gaulle, 92100 Boulogne-Billancourt, France.

出版信息

Arch Pediatr. 2017 Dec;24(12):1259-1261. doi: 10.1016/j.arcped.2017.09.012. Epub 2017 Nov 14.

Abstract

Perineal groove is a rare anoperineal congenital malformation, usually occurring in girls, unknown to many pediatricians. We report the case of a 17-day-old girl admitted for urinary infection, who presented a wet sulcus with mucous membrane, extending from the vaginal fourchette to the anterior border of the anus. The diagnosis of perineal groove was clinically confirmed, after elimination of misdiagnosis such as infection or trauma. This benign malformation tends to be self-epithelialized in the 1st year of life, and no surgical treatment is recommended, except for cosmetic reasons or for recurrent infections. This diagnosis must be known so as to avoid unnecessary explorations and anxiogenic misdiagnosis.

摘要

会阴沟是一种罕见的肛门会阴先天性畸形,通常发生在女孩中,许多儿科医生并不了解。我们报告了一名17天大因尿路感染入院的女孩病例,她出现了一个有黏膜的潮湿沟,从阴道后联合延伸至肛门前缘。在排除感染或创伤等误诊后,临床确诊为会阴沟。这种良性畸形在生命的第一年往往会自行上皮化,除了出于美容原因或反复感染外,不建议进行手术治疗。必须了解这种诊断,以避免不必要的探查和引起焦虑的误诊。

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