Gamage Manori, Beneragama D
Department of Paediatrics, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
Department of Pathology, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
Case Rep Pediatr. 2018 Feb 13;2018:3486032. doi: 10.1155/2018/3486032. eCollection 2018.
Urethral caruncle (UC) is a benign fleshy outgrowth at the urethral meatus. It was first described by Samuel Sharp in 1750 and occurs mainly at the posterior lip of the urethra, and the exact aetiology is still uncertain. More often it was seen in the postmenopausal women, and only few cases are reported in young girls. Patients may be asymptomatic and could find this as an incidental finding or they may present with symptoms such as dysuria, bleeding per vagina, haematuria, a mass protruding through vagina, and acute retention of urine. Here, we report the case history of a 4-year-old girl presented with vaginal bleeding which was taken as she has attended menarche and found to have urethral caruncle which was the cause for bleeding. Histology confirmed the diagnosis, and girl was completely cured following surgical excision.
尿道肉阜是尿道口的一种良性肉质赘生物。它于1750年由塞缪尔·夏普首次描述，主要发生在尿道后唇，确切病因仍不确定。多见于绝经后女性，年轻女孩中仅有少数病例报道。患者可能无症状，是偶然发现，也可能出现尿痛、阴道出血、血尿、阴道肿物突出及急性尿潴留等症状。在此，我们报告一名4岁女孩的病例，她因阴道出血就诊，最初被认为是月经初潮，后来发现是尿道肉阜导致出血。组织学检查确诊，女孩经手术切除后完全治愈。
