Wang Jiao, Zheng Fei, Wang Dandan, Yang Qing
Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.
Front Pediatr. 2022 Oct 21;10:966724. doi: 10.3389/fped.2022.966724. eCollection 2022.
Vaginal adhesions and stenosis are infrequent long-term sequelae following pediatric pelvic fractures. Patients may not present with signs and symptoms before menarche, leading to delayed diagnosis and treatment. We report an adolescent girl who presented with a post-abdominal trauma pelvic fracture and urethrovaginal fistula and subsequent severe vaginal adhesion, which resulted in infection and obstructive symptoms after menarche. Hysteroscopy-guided vaginal adhesion release using an epidural catheter and ultrasonography was performed, followed by vaginal dilation, to resolve obstructive symptoms. For girls with pelvic fractures, education on possible long-term sequelae is required, as is regular follow-up. Timely diagnosis and treatment are important, and hysteroscopic release of vaginal adhesion and postoperative regular vaginal dilation may be an effective treatment.
阴道粘连和狭窄是小儿骨盆骨折后罕见的长期后遗症。患者在月经初潮前可能没有症状和体征，导致诊断和治疗延迟。我们报告了一名青春期女孩，她腹部外伤后出现骨盆骨折和尿道阴道瘘，随后出现严重的阴道粘连，在月经初潮后导致感染和梗阻症状。采用硬膜外导管和超声引导下的宫腔镜阴道粘连松解术，随后进行阴道扩张，以缓解梗阻症状。对于骨盆骨折的女孩，需要对可能的长期后遗症进行教育，并定期随访。及时诊断和治疗很重要，宫腔镜下阴道粘连松解术和术后定期阴道扩张可能是一种有效的治疗方法。
