Wang Xinyan, Zeng Wenjie, Xu Sheng, Huang Lu, Lai Yucheng, Yu Yan
Department of Gynecology, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, China.
Acta Paediatr. 2020 Oct;109(10):1944-1947. doi: 10.1111/apa.15479. Epub 2020 Aug 11.
Vaginal bleeding in the prepubertal girl is an uncommon condition with complex aetiological factors. We report a case of a 6-year-old girl brought to hospital when vaginal bleeding was noticed after defecation. Various common causes were excluded by genital and auxiliary examinations. Serial vaginoscopy revealed increasing petechiae within the non-oestrogenised cervix and vaginal wall. The aetiology of these petechiae was considered to result from ruptured small blood vessels or submucosal capillaries due to an increase in abdominal pressure. CONCLUSION: This case report and review of literature has shed new light on the aetiology of prepubertal bleeding, which details challenging clinical characteristics of use to gynaecologists in the evaluation of related conditions and formulation of appropriate treatment regimens.
青春期前女孩阴道出血是一种病因复杂的罕见病症。我们报告一例6岁女孩，排便后发现阴道出血，遂被送往医院。通过妇科检查和辅助检查排除了各种常见病因。连续阴道镜检查显示，未受雌激素影响的宫颈和阴道壁内瘀点增多。这些瘀点的病因被认为是由于腹压增加导致小血管或黏膜下毛细血管破裂所致。结论：本病例报告及文献复习为青春期前出血的病因提供了新的线索，详细阐述了具有挑战性的临床特征，有助于妇科医生评估相关病症并制定适当的治疗方案。
