von Höveling Andrea, Carrasco Lilian, Weitzel Thomas, Martinez Gioconda, Riquelme Cristina, Sepulveda Paula, Ojeda Hugo
Department of Obstetrics and Gynecology Hospital El Carmen, Department of Obstetrics and Gynecology Clínica Santa María, Finis Terrae University, Santiago, Chile.
Department of Obstetrics and Gynecology Hospital Exequiel González Cortés, Department of Obstetrics and Gynecology Clínica Indisa, Santiago, Chile.
J Pediatr Adolesc Gynecol. 2020 Apr;33(2):170-172. doi: 10.1016/j.jpag.2019.12.004. Epub 2019 Dec 20.
Genital tract bleeding in prepubertal girls is a rare clinical condition, which can occur for multiple reasons. It frequently generates anxiety in the family and in health care professionals. A thorough anamnesis and careful genital inspection can give important diagnostic hints; however, there are cases in which the cause remains doubtful and a complete gynecological evaluation (including cultures and vaginoscopy) is necessary. Therefore, the attending physician should always consider less frequent diagnoses in order to perform the necessary studies in a sequential and rational manner. We present the case of a preschool girl with vaginal bleeding due to pinworm endometritis, which, to our knowledge, has never been reported before as a cause of genital bleeding in prepubertal girls.
青春期前女孩生殖道出血是一种罕见的临床情况，其发生原因可能多种多样。它常常使家庭和医护人员感到焦虑。全面的病史采集和仔细的生殖器检查可提供重要的诊断线索；然而，在某些情况下，病因仍不明确，需要进行全面的妇科评估（包括培养和阴道镜检查）。因此，主治医生应始终考虑到不太常见的诊断，以便按顺序、合理地进行必要的检查。我们报告一例因蛲虫性子宫内膜炎导致阴道出血的学龄前女孩病例，据我们所知，此前从未有过将其作为青春期前女孩生殖器出血原因的报道。
